Journal of Vascular Nursing
Volume 29, Issue 4 , Pages 139-146 , December 2011

Misdiagnosing aortic dissection: A fatal mistake

Paper presented at the SVN Conference, Nashville, Tennessee, May, 2011.

  • Maria Dixon, RN, MSN

      Affiliations

    • Corresponding Author InformationCorresponding author: Maria Dixon, 2090 Spahn Lane, Placentia, CA 92870.

References 

  1. Wiesenfarth J. Aortic dissection. eMedicine Journal. 2002;Vol. 3(1):www.emedicine.com/emerg/topic28.htm
  2. Anagnostopoulos CE. Acute Aortic Dissections. Baltimore (MD): University Park; 1975;
  3. Spittell PC, Spittell JA, Joyce JW, et al. Clinical features and differential diagnosis of aortic dissection: experience with 226 cases. Mayo Clin Proc. 1993;68:642–651
  4. Klompas M. Does this patient have an acute thoracic aortic dissection?. JAMA. 2002;287:2262–2272
  5. Hansen MS, Nogareda GJ, Hutachison SJ. Frequency of and inappropriate treatment of misdiagnosis of acute aortic dissection. Am J Cardiol. 2007;99:852–856
  6. Nienaber CA, Eagle KA. Aortic dissection: New frontiers in diagnosis and management: Part II: therapeutic management and follow-up. Circulation. 2003;108:772–778
  7. Khan I, Nair C. Clinical, diagnostic, and management perspectives of aortic dissection. Chest. 2002;122:811-328
  8. Meszaros I, Morocz J, Szlavi J, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117:1271–1278
  9. Clouse WD, Hallet JW, Schaff HV, et al. Acute aortic dissection: population-based incidence compared with degenerative aortic aneurysm rupture. Mayo Clin Proc. 2004;79:176–180
  10. Krouchouko NT, Dougenis D. Surgery of the thoracic aorta. N Eng J Med. 1997;336:1876–1888
  11. Siegal EM. Acute aortic dissection. J Hosp Med. 2006;1:94–105
  12. Crawford S. The diagnosis and management of aortic dissection. JAMA. 1990;264:2537–2541
  13. Coughlin R. Recognizing aortic dissection: A race against time. American Nurse Today. 2008;31–35
  14. Hagen PG, Nienaber CA, Isselbacher EM et.al The international registry of acute aortic dissection: New insights into an old disease. JAMA. 283; 897-903.
  15. Harris K, Strauss C, Duval S, et al. Multidisciplinary standardized care for acute aortic dissection: design and initial outcomes of a regional care model. Circ Cardiovasc Qual Outcomes. 2010;3:424–430
  16. Nienaver CA, Fattori R, Mehta RH, et al. Gender-related differences in acute aortic dissection. Circulation. 2004;109:3014–3021
  17. Dixon M. Acute aortic dissection. J Cardiovasc Nurs. 1987;1:24–35
  18. Dixon M. Patients with vascular emergencies. In:  Fahey VA editors. Vascular Nursing. 3rd ed.. Philadelphia: WB Saunders; 1988;
  19. International Registry of Aortic Dissection. www.iradonline.org
  20. Golledge J. Eagle KA Acute aortic dissection. Lancet. 2008;372:55–66
  21. Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection. Eur Heart J. 2001;22:1642–1681
  22. Roberts W. Aortic dissection: Analogy, consequences and causes. Am Heart J. 1981;101:195–215
  23. Wheat M. Acute dissecting aneurysms of the aorta, diagnosis and treatment. Am Heart J. 1980;99:373-359
  24. DeBakey ME, Henly WS, Cooley DA, et al. Surgical management of dissecting aneurysms of the aorta. J Thorac Cardiovasc Surg. 1965;49:130–148
  25. Dailey PO, Trueblood HW, Stinson EB, et al. Management of acute aortic dissection. Ann Thorac Surg. 1970;10:237–246
  26. Assar A, Zarins C. A killer at large: acute aortic dissection. Brit J Hosp Med. 2008;69:626–631
  27. Karthikesalingam A, Holt PJE, Hinchliffe RJ, et al. The diagnosis and management of aortic dissection. Vasc Endovasc Surg. 2010;44:165–169
  28. Von Kodolitsch Y, Schwartz A, Nienaber C. Clinical prediction of acute aortic dissection. Arch intern Med. 2000;160:2977–2982
  29. Grannis FW, Bryant C, Caffaratti JD, et al. Acute aortic dissection associated with cocaine abuse. Clin Cardiol. 1988;11:572–574
  30. Rashid J, Eisenberg MJ, Topol EJ. Cocaine-induced aortic dissection. Am Heart J. 1996;132:1301–1304
  31. Slater EE, DeSanctis RW. The clinical recognition of dissecting aortic aneurysm. Am J Med. 1976;60:625–633
  32. Suzuki T, Katoh H, Watanabe M, et al. Novel biochemical diagnostiac method for aortic dissection. Results of a prospective study using an immunoassay of smooth muscle myosin heavy chain. Circulation. 1996;93:1244–1249
  33. Trimarchi S, Nienaber CA, Rampoldi V, et al. Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience. J Thorac Cardiovas Surg. 2005;129:112–122
  34. Svensson LG, Kouchoukos NT, Miller DC, et al. Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg. 2008;85(1):S1–S41
  35. Eagle KA, Brukmann D, Isselbacher E, et al. Predictive of mortality in patients with type A acute aortic dissections-results from the International Registry of Acute Aortic Dissection. J Am Coll Cardiol. 2000;35:323

 The author reports no grant support or other financial assistance for this research.

PII: S1062-0303(11)00127-0

doi: 10.1016/j.jvn.2011.08.003

Journal of Vascular Nursing
Volume 29, Issue 4 , Pages 139-146 , December 2011

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