Diagnóstico oportuno de la disección de aorta por traumatismo contuso
Alberto Jaime Kalach-Mussali, Benjamín Santiago Montes-Corrales, Juan Carlos Vázquez-Minero
2013, Número 3
2013; 72 (3)
RESUMEN
La disección aórtica secundaria a traumatismo es rara. En pacientes que presentan traumatismo contuso es importante el diagnóstico oportuno y tratamiento de este tipo de lesión. Se expone el caso de una paciente de 27 años de edad, quién sufrió traumatismo de alta intensidad de tipo choque automovilístico frontal. Fue llevada por personal paramédico al Hospital Central Cruz Roja Mexicana, ingresando hemodinámicamente estable con trauma multisistémico. El diagnóstico de disección aórtica se realizó por sospecha clínica y radiológica, corroborado por angiotomografía durante las primeras 24 horas de su ingreso. Durante su hospitalización la paciente no presentó deterioro y fue trasladada a un centro cardiológico de tercer nivel en donde se le dio tratamiento definitivo exitoso.
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