{"product_id":"proximal-aortic-dissection-with-rupture-into-the-main-pulmonary-artery-von-ramachandran-muthiah","title":"Proximal Aortic Dissection with Rupture into the Main Pulmonary Artery","description":"\u003cp\u003eAim: To present a rare occurrence of aortopulmonary fistula due to rupture of proximal aortic dissection in a 48-year old woman. Introduction: Aortic dissection is defined as disruption of the medial layer provoked by intramural bleeding, resulting in separation of aortic wall layers and subsequent formation of a true lumen and a false lumen with or without communication. Discussion: The etiology of aortic dissection include mostly hypertension in 80 % of cases and aortopathies such as connective tissue disorders, inflammatory and sometimes idiopathic. Aortic wall stress is a major trigger of intimal tear and two-dimensional transthoracic echocardiography is an excellent, initial diagnostic gold standard to detect the dissecting flaps, especially in proximal aortic dissection. Conclusion: Blood pressure control is the mainstay of treatment and urgent surgery is indicated in proximal aortic dissection since there is higher chance of rupture with an increase in mortality.\u003c\/p\u003e\u003cdiv class=\"aw-variant-hidden-subtitle-div\" id=\"aw-variant-subtitle-9786202018241\"\u003e\u003ch3\u003e\u003c\/h3\u003e\u003c\/div\u003e","brand":"Libri","offers":[{"title":"Softcover - 9786202018241","offer_id":39448334106717,"sku":"9786202018241","price":35.9,"currency_code":"EUR","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0940\/0622\/files\/d826f0ff-582f-4d73-97b7-6305b2729987.jpg?v=1770187416","url":"https:\/\/shop.autorenwelt.de\/en\/products\/proximal-aortic-dissection-with-rupture-into-the-main-pulmonary-artery-von-ramachandran-muthiah","provider":"Autorenwelt Shop","version":"1.0","type":"link"}