acute aortic dissection be aware of misdiagnosis急性主动脉夹层的误诊.pdfVIP

BMC Research Notes BioMed Central Short Report Open Access Acute aortic dissection: be aware of misdiagnosis Irene Asouhidou* and Theodora Asteri Address: Department of Cardiac Anesthesia, G. Papanikolaou General Hospital, Exohi, Thessaloniki, Greece Email: Irene Asouhidou* - iasouhidou@; Theodora Asteri - aster@the.forthnet.gr * Corresponding author Published: 20 February 2009 Received: 1 October 2008 Accepted: 20 February 2009 BMC Research Notes 2009, 2:25 doi:10.1186/1756-0500-2-25 This article is available from: /1756-0500/2/25 © 2009 Asouhidou et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Acute aortic dissection (AAD) is a life-threatening condition requiring immediate assessment and therapy. A patient suffering from AAD often presents with an insignificant or irrelevant medical history, giving rise to possible misdiagnosis. The aim of this retrospective study is to address the problem of misdiagnosing AD and the different imaging studies used. Methods: From January 2000 to December 2004, 49 patients (41 men and 8 women, aged from 18–75 years old) presented to the Emergency Department of our hospital for different reasons and finally diagnosed with AAD. Fifteen of those pat