An extensive DeBakey type IIIb aortic dissection with massive right pleural effusion presenting as abdominal pain and acute anemia： particular case report  

作　　者：Hui-Chun YU Zhen-Qing WANG Yuan-Yuan HAO Feng-Ping AN Yu-Chuan HU Rui-Bing DENG Peng YU Guang-Bin CUI He LI 

机构地区：[1]Department of Gerontology, Xiqing Hospital, Tianjin, China [2]Department of Radiology, Tangdu Hospital, Fourth Military Medical University, Xi 'an, Shaanxi Province, China [3]Cardiovascular Dtvtszon of Gerontology, Pingjin Hospital, Logistic University of CAPF, Tianjin, China

出　　处：《Journal of Geriatric Cardiology》2015年第3期319-322,共4页老年心脏病学杂志（英文版）

摘　　要：We describe the case of a 79-year-old male presented with sudden onset of abdominal pain and mild breathlessness, and complicated acute progressive anemia with haemoglobin which declined from 120 g/L to 70 g/L within five days. An urgent computed tomography an- giography showed acute thoracic aortic dissection, DeBakey type IIIb, a dissecting aneurysm in the proximal descending thoracic aorta start- ing immediately after the origin of the left subclavian artery and extending distally below the renal arteries with evidence of rupture into the right pleural cavity for massive pleural effusion. Plasma D-dimer, brain natriuretic peptide and C reactive protein level were elevated. Our case showed that D-dimer can be used as a ＇rule-out＇ test in patients with suspected aortic dissection. A raised BNP may exert a protective role through anti-inflammatory endothelial actions in the systemic circulation.

关 键 词：Acute aortic dissection ANEMIA D-DIMER The elderly 

分 类 号：S858.28[农业科学—临床兽医学] TH778[农业科学—兽医学]