[Aortic Dissection In The Cardiology Department Of The Point G University Hospital (Mali): Cardiovascular Emergency About 4 Observations].

Abstract

Aortic dissection (AD) is a medicosurgical emergency whose diagnosis has been considerably facilitated in recent years by the development of reliable and easily available diagnostic methods such as echocardiography, spiral CT angiography, and even magnetic resonance imaging. The prognosis remains serious, particularly when the ascending aorta is involved (type A AD), therefore immediate surgical treatment can considerably reduce its mortality. The prognosis for dissections of the descending thoracic aorta (type B) is the best; treatment is primarily medical in the absence of complications. We report two cases of unexploited Stanford type A aortic dissection respectively in a 38-year-old patient and a 52-year-old patient, both with a fatal outcome, and two case of type B aortic dissection with a favorable outcome. These observations highlight the need to raise awareness among our populations about cardiovascular emergencies and challenge our health policies in order to improve the technical platform concerning the diagnosis and management of these dissections.