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©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2022; 10(16): 5394-5399
Published online Jun 6, 2022. doi: 10.12998/wjcc.v10.i16.5394
Published online Jun 6, 2022. doi: 10.12998/wjcc.v10.i16.5394
Successful treatment of aortic dissection with pulmonary embolism: A case report
Xu-Guang Chen, Sheng-Yi Shi, Yun-Yan Ye, Huan Wang, Wen-Fei Yao, Lan Hu, Department of Emergency, Ruijin Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 201800, China
Author contributions: Chen XG did the data curation, formal analysis, writing–original draft; Shi SY did the conceptualization; Ye YY did the investigation; Wang H and Yao WF did the resources; Hu L did the supervision, writing–review and editing.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lan Hu, Doctor, Deputy Director, Department of Emergency, Ruijin Hospital Affiliated to Medical College of Shanghai Jiaotong University, No. 999 Hope Road, Jiading District, Shanghai 201800, China. 442037735@qq.com
Received: September 10, 2021
Peer-review started: September 10, 2021
First decision: January 10, 2022
Revised: January 19, 2022
Accepted: April 9, 2022
Article in press: April 9, 2022
Published online: June 6, 2022
Peer-review started: September 10, 2021
First decision: January 10, 2022
Revised: January 19, 2022
Accepted: April 9, 2022
Article in press: April 9, 2022
Published online: June 6, 2022
Core Tip
Core Tip: Here we show a case of a patient with multiple injuries from a fall who was admitted 2 wk later and found to have a concurrent type B aortic dissection, and low-risk pulmonary embolism. We determined that the thrombosis was probably related to compression of the aortic hematoma. After 6 wk of nasal high-flow oxygen therapy, analgesia, slowing of heart rate, lowering of blood pressure, and non-anticoagulation, the patient was discharged. This case shows us that non-surgical non-anticoagulation may be appropriate for patients with aortic dissection combined with low-risk pulmonary embolism.