<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182020000601366</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Aortic Dissection Stanford B. A case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Disección Aórtica Stanford B. Un Reporte de Caso]]></article-title>
<article-title xml:lang="pt"><![CDATA[Dissecção da aorta Stanford B. Um relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa Frías]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo Molina.]]></surname>
<given-names><![CDATA[Ana Elvis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Docente Universitario Carlos Manuel de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>6</numero>
<fpage>1366</fpage>
<lpage>1376</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182020000601366&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182020000601366&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182020000601366&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  chest pain is a common presentation in the emergency department environment. Although most cases of chest pain that present in the emergency department are eventually diagnosed as non-cardiovascular aetiology, it is important to exclude acute life-threatening conditions such as acute myocardial infarction, pulmonary embolism, visceral perforation and aortic dissection. This publication aims to show the importance of CT Angiography in the diagnosis of this disease and to review the updated bibliography.  Case presentation:  45-year-old male patient with onset of chest pain and arterial hypertension, on CT angiography.  Discussion:  a type B aortic dissection was performed according to Stanford and type III according to the DeBakey classification, the patient was stabilized, cared for by a cardiologist, and referred to a tertiary hospital. Aortic dissection is a disease to consider in young patients who complain of sudden chest pain, hypertension, mainly if the D-dimer is altered;  Conclusions:  aortic dissection is a disease with a high risk of mortality that must be treated early; the most important radiological study in the diagnosis is CT angiography, the most common clinical presentation is atypical chest pain.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el dolor de pecho es una presentación común en el entorno del departamento de emergencias. Si bien la mayoría de los casos de dolor torácico que se presentan en el servicio de urgencias finalmente se diagnostican como de etiología no cardiovascular, es importante excluir afecciones agudas que pongan en peligro la vida, como infarto agudo de miocardio, embolia pulmonar, perforación visceral y disección aórtica. Esta publicación tiene como objetivo mostrar la importancia de Angio TAC en el diagnóstico de esta enfermedad y revisar la bibliografía actualizada.  Presentación de caso: paciente masculino de 45 años con inicio de dolor torácico e hipertensión arterial, en el angio TC.  Discusión:  se realizó una disección aórtica tipo B según Stanford y tipo III según clasificación DeBakey, el paciente fue estabilizado, atendido por un cardiólogo, y derivado a un hospital terciario. La disección aórtica es una enfermedad a tener en cuenta en pacientes jóvenes que se quejan de dolor torácico brusco, hipertensión arterial, principalmente si el dímero D está alterado;  Conclusiones:  la disección aórtica es una enfermedad de alto riesgo de mortalidad que debe tratarse temprano; el estudio radiológico más importante en el diagnóstico es el Angio TAC, la presentación clínica más común es el dolor torácico atípico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução:  a dor torácica é uma apresentação comum no ambiente de pronto-socorro. Embora a maioria dos casos de dor no peito que se apresentam no departamento de emergência sejam eventualmente diagnosticados como de etiologia não cardiovascular, é importante excluir condições agudas de risco de vida, como infarto agudo do miocárdio, embolia pulmonar, perfuração visceral e dissecção aórtica. Esta publicação tem como objetivo mostrar a importância da angiotomografia no diagnóstico desta doença e revisar a bibliografia atualizada.  Apresentação do caso:  Paciente do sexo masculino, 45 anos, com quadro de dor torácica e hipertensão arterial, à angiotomografia.  Discussão:  foi realizada dissecção aórtica tipo B de acordo com Stanford e tipo III de acordo com a classificação de DeBakey, o paciente foi estabilizado, atendido por cardiologista e encaminhado para hospital terciário. A dissecção da aorta é uma doença a ser considerada em pacientes jovens que se queixam de dor torácica súbita, hipertensão, principalmente se o dímero D estiver alterado;  Conclusões:  a dissecção aórtica é uma doença de alto risco de mortalidade que deve ser tratada precocemente; o estudo radiológico mais importante para o diagnóstico é a angiotomografia, a apresentação clínica mais comum é a dor torácica atípica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Aortic dissection]]></kwd>
<kwd lng="en"><![CDATA[Angio-TAC]]></kwd>
<kwd lng="en"><![CDATA[Chest pain]]></kwd>
<kwd lng="en"><![CDATA[Mortality]]></kwd>
<kwd lng="es"><![CDATA[Disección aórtica]]></kwd>
<kwd lng="es"><![CDATA[Angio TAC]]></kwd>
<kwd lng="es"><![CDATA[Dolor torácico]]></kwd>
<kwd lng="es"><![CDATA[Mortalidad]]></kwd>
<kwd lng="pt"><![CDATA[Dissecção aórtica]]></kwd>
<kwd lng="pt"><![CDATA[AngioTAC]]></kwd>
<kwd lng="pt"><![CDATA[Dor no peito]]></kwd>
<kwd lng="pt"><![CDATA[Mortalidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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