Dissection of the thoracic aorta in a patient with autosomal dominant polycystic kidney disease
Atasoyu, Enes Murat
Evrenkaya, Tevfik Rıfkı
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CitationKeskin, O., Atasoyu, E. M., Kalemoğlu, M., Ünver, S., Küçükardalı, Y., Nalbant, S. ve Evrenkaya, T. R. (2004). Dissection of the thoracic aorta in a patient with autosomal dominant polycystic kidney disease. Hong Kong Journal of Nephrology, ScienceDirect. 6(1), s.60-61.
Autosomal dominant polycystic kidney disease (ADPKD) is a systemic illness with a number of extrarenal manifestations. A 61-year-old male patient with known ADPKD was admitted to the emergency room of our hospital in May 2003 with severe chest pain radiating to his neck and back, and a sense of breathlessness. There was no history of trauma. On admission, he was hypotensive (90/50 mmHg) and his heart rate was 110 beats/min. He had a midsystolic murmur, which was most marked at the left sternal edge. His peripheral pulses were weak. Bilateral basal crepitations were found on pulmonary examination. Abdominal examination was normal except for large palpable polycystic kidneys. He had no focal neurologic signs. Laboratory examination showed no significant abnormalities except for raised serum urea (121 mg/dL) and creatinine (4.1 mg/dL). An electrocardiogram showed depression of ST segments in the anterior leads. Emergency computerized tomography scanning of the thorax and abdomen demonstrated dissection and intramural thrombus within the descending thoracic aorta and bilateral polycystic kidneys (Panels A and B).
SourceHong Kong Journal of Nephrology
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