Aortic dissection in a renal transplant patient presenting with gastroenteritis: case report

Abstract

Acute aortic dissection (AD) is a true cardiovascular emergency whose diagnosis and treatment process is very difficult for the patient and the physician, with a mortality rate of 50% in some cases if not intervened within the first 48 hours. AD is classified according to the anatomical region of the aorta affected. Class 1 De Bakey dissection involves the ascending aorta, arcus aorta and descending aorta. Class 2 De Bakey is limited to the ascending aorta, while class 3 De Bakey starts from the descending aorta. According to the Stanford classification, dissection type is divided into A and B. The most common complaints at presentation are predatory chest pain in Type A dissection and low back pain or abdominal pain in Type B dissection.