DIFFERENTIAL DIAGNOSIS IN ACUTE AORTIC SYNDROME

Abstract

The study aims to conduct a differential diagnosis of acute arterial syndrome in dissecting aortic
aneurysm in order to optimize medical care for patients. Materials and methods. The study presents an analysis
of the clinical case of an elderly patient with high comorbidity: acute aortic syndrome secondary to metabolically
associated pathology and oncological disease. Results. In the diagnosis, variants of unstable coronary artery
disease, pulmonary embolism, pericarditis and myocarditis were excluded. The patient suffered from thoracalgia,
hypotension, anemia, the clinical picture of ischemic hepatitis and acute kidney injury with chronic kidney disease
for 5.5 days and died due to cardiac tamponade. No magnetic resonance imaging and computed tomography
led to postmortal diagnosis of dissecting aneurysm, complicated by its rupture, and multisystem atherosclerosis.
Multisystem atherosclerosis with lesions of the aorta is no longer a rare pathology and should be included in the
diagnostic search.