Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection
Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless p...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Jovanović Ivana [verfasserIn] Tešić Milorad [verfasserIn] Antonijević Nebojša [verfasserIn] Menković Nemanja [verfasserIn] Paunović Ivana [verfasserIn] Ristić Arsen [verfasserIn] Vučićević Vera [verfasserIn] Vujisić-Tešić Bosiljka [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch ; srp |
| Erschienen: |
2016 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Srpski Arhiv za Celokupno Lekarstvo - Serbian Medical Society, 2010, 144(2016), 5-6, Seite 320-324 |
|---|---|
| Übergeordnetes Werk: |
volume:144 ; year:2016 ; number:5-6 ; pages:320-324 |
| Links: |
Link aufrufen |
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| DOI / URN: |
10.2298/SARH1606320J |
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| Katalog-ID: |
DOAJ074335847 |
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| 520 | |a Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. | ||
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10.2298/SARH1606320J doi (DE-627)DOAJ074335847 (DE-599)DOAJa0d3c07f7db948a6bf2ac9c1cb2c541e DE-627 ger DE-627 rakwb eng srp Jovanović Ivana verfasserin aut Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. aortic dissection intimal flap renal failure hepatic failure pericardial effusion Medicine R Tešić Milorad verfasserin aut Antonijević Nebojša verfasserin aut Menković Nemanja verfasserin aut Paunović Ivana verfasserin aut Ristić Arsen verfasserin aut Vučićević Vera verfasserin aut Vujisić-Tešić Bosiljka verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 144(2016), 5-6, Seite 320-324 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:144 year:2016 number:5-6 pages:320-324 https://doi.org/10.2298/SARH1606320J kostenfrei https://doaj.org/article/a0d3c07f7db948a6bf2ac9c1cb2c541e kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791606320J.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 144 2016 5-6 320-324 |
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10.2298/SARH1606320J doi (DE-627)DOAJ074335847 (DE-599)DOAJa0d3c07f7db948a6bf2ac9c1cb2c541e DE-627 ger DE-627 rakwb eng srp Jovanović Ivana verfasserin aut Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. aortic dissection intimal flap renal failure hepatic failure pericardial effusion Medicine R Tešić Milorad verfasserin aut Antonijević Nebojša verfasserin aut Menković Nemanja verfasserin aut Paunović Ivana verfasserin aut Ristić Arsen verfasserin aut Vučićević Vera verfasserin aut Vujisić-Tešić Bosiljka verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 144(2016), 5-6, Seite 320-324 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:144 year:2016 number:5-6 pages:320-324 https://doi.org/10.2298/SARH1606320J kostenfrei https://doaj.org/article/a0d3c07f7db948a6bf2ac9c1cb2c541e kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791606320J.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 144 2016 5-6 320-324 |
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10.2298/SARH1606320J doi (DE-627)DOAJ074335847 (DE-599)DOAJa0d3c07f7db948a6bf2ac9c1cb2c541e DE-627 ger DE-627 rakwb eng srp Jovanović Ivana verfasserin aut Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. aortic dissection intimal flap renal failure hepatic failure pericardial effusion Medicine R Tešić Milorad verfasserin aut Antonijević Nebojša verfasserin aut Menković Nemanja verfasserin aut Paunović Ivana verfasserin aut Ristić Arsen verfasserin aut Vučićević Vera verfasserin aut Vujisić-Tešić Bosiljka verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 144(2016), 5-6, Seite 320-324 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:144 year:2016 number:5-6 pages:320-324 https://doi.org/10.2298/SARH1606320J kostenfrei https://doaj.org/article/a0d3c07f7db948a6bf2ac9c1cb2c541e kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791606320J.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 144 2016 5-6 320-324 |
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10.2298/SARH1606320J doi (DE-627)DOAJ074335847 (DE-599)DOAJa0d3c07f7db948a6bf2ac9c1cb2c541e DE-627 ger DE-627 rakwb eng srp Jovanović Ivana verfasserin aut Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. aortic dissection intimal flap renal failure hepatic failure pericardial effusion Medicine R Tešić Milorad verfasserin aut Antonijević Nebojša verfasserin aut Menković Nemanja verfasserin aut Paunović Ivana verfasserin aut Ristić Arsen verfasserin aut Vučićević Vera verfasserin aut Vujisić-Tešić Bosiljka verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 144(2016), 5-6, Seite 320-324 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:144 year:2016 number:5-6 pages:320-324 https://doi.org/10.2298/SARH1606320J kostenfrei https://doaj.org/article/a0d3c07f7db948a6bf2ac9c1cb2c541e kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791606320J.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 144 2016 5-6 320-324 |
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10.2298/SARH1606320J doi (DE-627)DOAJ074335847 (DE-599)DOAJa0d3c07f7db948a6bf2ac9c1cb2c541e DE-627 ger DE-627 rakwb eng srp Jovanović Ivana verfasserin aut Acute renal failure and hepatocellular damage as presenting symptoms of type II aortic dissection 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. aortic dissection intimal flap renal failure hepatic failure pericardial effusion Medicine R Tešić Milorad verfasserin aut Antonijević Nebojša verfasserin aut Menković Nemanja verfasserin aut Paunović Ivana verfasserin aut Ristić Arsen verfasserin aut Vučićević Vera verfasserin aut Vujisić-Tešić Bosiljka verfasserin aut In Srpski Arhiv za Celokupno Lekarstvo Serbian Medical Society, 2010 144(2016), 5-6, Seite 320-324 (DE-627)637421205 (DE-600)2577665-4 24060895 nnns volume:144 year:2016 number:5-6 pages:320-324 https://doi.org/10.2298/SARH1606320J kostenfrei https://doaj.org/article/a0d3c07f7db948a6bf2ac9c1cb2c541e kostenfrei http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791606320J.pdf kostenfrei https://doaj.org/toc/0370-8179 Journal toc kostenfrei https://doaj.org/toc/2406-0895 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 144 2016 5-6 320-324 |
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Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. |
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Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. |
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Introduction. Pericardial effusion can be a consequence of a number of pathological conditions, and as such it can cause impaired left ventricular filling followed by decreased cardiac output and blood pressure. This kind of hemodynamic compromise and its consequences are extremely uncommon unless pericardial effusion causes tamponade. Case Outline. We describe a very rare case of a 30-year old male patient, with an acute aortic dissection type II causing pericardial effusion without clinical nor echocardiographic signs of tamponade, while presenting with an acute renal and hepatic failure. After initial diagnostic uncertainties, and following final diagnosis of an acute aortic dissection, this patient underwent surgical aortic valve replacement with a satisfactory outcome. Conclusion. It is important to underscore the significance of clinical situation of simultaneously existing acute renal and hepatic failures in the setting of a “non-tamponade” pericardial effusion, following a type II aortic dissection. Although most commonly aortic dissection presents itself with typical clinical symptoms or patient history data, it is not that unusual for it to be hidden in an entirely atypical clinical milieu as the one described in this case. |
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