Mixed aortic dissection: surgical and conservative approach

Abstract

Acute aortic dissection is a potentially serious clinical condition and diagnosis is often delayed due to errors made in the patient's initial treatment. In the case reported below, a patient was admitted with classic symptoms of substernal pain radiating to the back, a condition that had started more than five days earlier. The patient was treated and diagnosed correctly in the emergency room and referred to the surgical center. A few days after the operation, the patient returned with a new dissection, this time in a more distal part of the aorta, which was treated clinically, without surgical intervention. Information from the care provided and surgical reports were collected, and a brief review of the literature was performed to address the clinical case. After two complications, the patient progressed well and recovered fully.