Resumo

RIVERO FERNANDEZ, Fidel; RIVERO FERNANDEZ, Tomas; GUERRA GONZALEZ, Alfredo  e  BASULTO BARROSO, Manuel. Aortic dissection and hypertensive emergency: A case report. AMC [online]. 2006, vol.10, n.5, pp. 106-114. ISSN 1025-0255.

This paper reports on a 48-year, black, female patient with severe hypertension as an underlying disease, who in the course of a hypertensive emergency Developer a target organ disease, which led to aortic dissection, that is, to dissection aneurism of the aorta. A review of literature on the subject provided information on the epidemiologic order of the disease, which makes it most frequent in elderly males contrary to the patient in our report. As regards the classification of the pathology, our patients’ aortic dissection was Type II of the De Bakeys classification, Type B, i.e., stays away from Stanford’s classification but is chronic from the point of view of its time span. Our procedure was conservative, that is, we approach the disease through medical treatment and through risk factor management. Response to treatment was favourable given that dissection did not progressed and that arterial tension remained under control.

Palavras-chave : DISSECTION; EMERGENCY IDENTIFICATION; HYPERTENSION [complications]; HEMATOMA; AORTIC ANEURYSM.

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