Aortic dissection and pulmonary embolism: a fatal combination: а case report
Yu. V. Gavrilov,
O. O. Manuilova,
A. V. Melekhov,
O. P. Mishutchenko,
I. G. Nikitin,
N. V. Petrenko,
A. V. Salikov,
V. S. Suryakhin,
A. G. Tevosyan https://doi.org/10.15829/1560-4071-2025-6082
EDN: VQTEDK
Abstract
The article describes a rare case of lifetime diagnosis of a combination of massive pulmonary embolism and aortic dissection (DeBakey type I, Stanford type A) in a 42-year-old male patient with hypertension, obesity and gout. The combination of these potentially fatal pathologies, even with timely diagnosis, significantly complicates the choice of treatment strategy, since the use of antithrombotic agents for pulmonary embolism is absolutely contraindicated in aortic dissection, and successful surgical treatment in these cases are extremely rare.
The case is illustrated by paraclinical examination and autopsy data.
About the Authors
Yu. V. Gavrilov
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
O. O. Manuilova
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
A. V. Melekhov
Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
O. P. Mishutchenko
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
I. G. Nikitin
Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
N. V. Petrenko
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
A. V. Salikov
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
V. S. Suryakhin
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
A. G. Tevosyan
Buyanov City Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Moscow
Competing Interests:
None
References
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- Combination of pulmonary embolism and aortic dissection is extremely rare; their diagnosis in conditions of non-specific manifestations requires a clinical approach using paraclinical methods.
- A case of a combination of massive pulmonary embolism and aortic dissection is presented, illustrated by paraclin-ical examination and autopsy data in a 42-year-old male patient with hypertension, obesity and gout.
- Treatment of such combination is extremely difficult even with timely diagnosis, since the use of antithrombotic agents in pulmonary embolism is absolutely contraindicated in aortic dissection, and cases of successful surgical treatment are extremely rare.
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For citations:
Gavrilov Yu.V., Manuilova O.O., Melekhov A.V., Mishutchenko O.P., Nikitin I.G., Petrenko N.V., Salikov A.V., Suryakhin V.S., Tevosyan A.G. Aortic dissection and pulmonary embolism: a fatal combination: а case report. Russian Journal of Cardiology. 2025;30(5S):6082. (In Russ.) https://doi.org/10.15829/1560-4071-2025-6082. EDN: VQTEDK
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