title: Aortic dissection and rupture in a child.
abstract: After developing sudden severe chest pain, an 11-year-old boy presented to the emergency room with chest pain and palpitations and was unable to stand up. The sudden onset of chest pain was first reported while swimming at school about 30 minutes prior to presentation. Arterial blood pressure (BP) was 150/90 mmHg, heart rate was 120/minute, and the chest pain was combined with shortness of breath and diaphoresis. During the evaluation in the emergency room, the chest pain worsened and abdominal pain developed. An aortic dissection was suspected and a chest and abdomen CT was obtained. The diagnosis of aortic dissection type B was established by CT imaging. The patient went to surgery immediately with BP control. He died prior to surgery due to aortic rupture. Here we present this rare case of aortic dissection type B with rupture, reported in an 11-year-old Korean child.
authors.affiliation: Department of Pediatric Cardiology, Kwandong University Myongji Hospital Cardiovascular Center, Goyang, Korea.
authors.forename: Yun Ju
authors.initials: YJ
authors.lastname: Jo
authors.forename: Eun Jeong
authors.initials: EJ
authors.lastname: Lee
authors.forename: Jin Won
authors.initials: JW
authors.lastname: Oh
authors.forename: Chang Min
authors.initials: CM
authors.lastname: Moon
authors.forename: Deok Kyu
authors.initials: DK
authors.lastname: Cho
authors.forename: Yun Hyeong
authors.initials: YH
authors.lastname: Cho
authors.forename: Ki Hyun
authors.initials: KH
authors.lastname: Byun
authors.forename: Lucy Youngmin
authors.initials: LY
authors.lastname: Eun