A pilot case of acute aortic dissection and literature review
10.3760/cma.j.cn113854-20200902-00121
- VernacularTitle:飞行员急性主动脉夹层一例并文献复习
- Author:
Yun ZHAO
1
;
Tao YU
1
;
Fangcheng XU
1
;
Guangkai GAO
1
Author Information
1. 海军第九七一医院军事医学与特种学科，青岛 266071
- Publication Type:Journal Article
- Keywords:
Acute aortic dissection;
Chest pain;
CT angiography;
Pilot
- From:
Chinese Journal of Aerospace Medicine
2021;32(1):17-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To improve the understanding of the clinical characteristics and diagnosis of acute aortic dissection (AAD) in pilots.Methods:This paper reported the clinical features, predisposing factors, diagnosis and treatment of a helicopter pilot with aortic dissection. The related literatures were reviewed.Results:The pilot was a 32-year-old male who denied a history of hypertension and presented with persistent severe chest pain. CT angiography of the aorta suggested thoracic-abdominal aortic dissection. Strict bed rest, blood pressure control and thoracic endovascular aortic repair were performed one week after the diagnosis. There were no abnormalities in limb activity, renal function, gastrointestinal function, electrocardiogram and transthoracic echocardiography after endovascular intervention. The pilot was finally disqualified in aviation.Conclusions:Aortic dissection is extremely rare in pilots and should be carefully considered in the diagnosis of chest pain. During the pilot recruiting process and the practice of flight surgeon, more attention should be paid on the possibility of such rare disease as aortic dissection in case of the symptoms of chest pain appeared.
