Particularites Diagnostiques Et Pronostiques De La Dissection Aortique Au Cnhu-Hkm De Cotonou, Benin : A Propos De 6 Cas En 2017

Adjagba Philippe Mahouna, Bognon Rosaire, Sonou Arnaud, Hounkponou Murielle, Djoh Ingrid, Assani Moutaïrou Salimatou, Yessoufou Tchabi, Houénassi Martin Dèdonougbo

Abstract


Aortic dissection (DA) defined by longitudinal cleavage of the aortic wall, at the level of the media from an intimal breach, is a diagnostic and therapeutic emergency. Out of a total of 467 hospitalized patients, we reported 6 cases of aortic dissection (DA) observed at CNHU-HKM, Cotonou, in 2017. The patients were 53.33 years old (33-65 years old), and they comprised of 4 women and 2 men. Hypertension was present in 5 patients. Chest pain, the most common telltale sign, was found in 5 patients but typical only in 2 cases. Three (3) patients had severe hypertension when they were admitted, and 2 had a differential arterial pressure of at least 20 mmHg between the arms. The breath of aortic insufficiency was present in 4 patients. Chest X-ray has contributed to the diagnosis in the 4 cases where it was prescribed. Cardiac Döppler ultrasonography was perfomed in 5 patients, while the ECG gave no contribution to the diagnosis. The diagnostic confirmation was made by the aortic CT scan in all patients and the AD was type A in 5 cases and type B in 1 case according to the Stanford classification. All patients received medical treatment and only 1 patient received both medical treatment and surgery. The outcome was fatal in 5 patients: death of the patient with type B dissection and 4 deaths out of 5 for type A.

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DOI: http://dx.doi.org/10.19044/esj.2018.v14n18p206

DOI (PDF): http://dx.doi.org/10.19044/esj.2018.v14n18p206


European Scientific Journal (ESJ)

 

ISSN: 1857 - 7881 (Print)
ISSN: 1857 - 7431 (Online)

 

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