Author + information
- Received March 31, 2010
- Accepted April 8, 2010
- Published online December 14, 2010.
A 9-year-old boy was admitted to our emergency department with acute chest pain and elevated troponin I. His mother had died of a ruptured aortic aneurysm. Computed tomography angiography of the chest and upper abdomen was performed using a dedicated pediatric electrocardiography-gated ultra-low radiation dose acute chest pain protocol with an effective radiation dose of <2 mSv. Computed tomography angiography revealed extensive thoracoabdominal aortic dissection (arrows, Online Videos 1 and 2), starting just distal to the left subclavian artery (A, B) and extending to the level of the superior mesenteric artery (C, D), involving the celiac artery (E, F). The patient underwent immediate surgical repair with subsequent full recovery. This case illustrates a very rare case of acute aortic dissection in a child with no underlying genetic disease (1).
Dr. Schoepf is a medical consultant for and receives research support from Bayer-Schering, Bracco, General Electric, Medrad, and Siemens.
- Received March 31, 2010.
- Accepted April 8, 2010.
- American College of Cardiology Foundation