title: Acute aortic dissection in a patient with extremely low body mass index due to anorexia nervosa.
abstract: We report a case of successful surgical repair of an acute aortic dissection (Stanford Type A) in a severely malnourished 39-year old patient with anorexia nervosa (body mass index [BMI] 11.3 kg/m2) and essential hypertension. The case is of interest since 1) acute aortic dissection in patients with anorexia nervosa has not previously been described; 2) hypertension is extremely rare in patients with eating disorders; and 3) successful aortic repair in a patient with so low BMI has not been reported before. We conclude that extremely low BMI due to anorexia nervosa is not an absolute contraindication for major aortic surgery.
authors.affiliation: Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
authors.forename: O
authors.initials: O
authors.lastname: Kolsrud
authors.forename: V
authors.initials: V
authors.lastname: Lepore
authors.forename: K
authors.initials: K
authors.lastname: Swärd
authors.forename: A
authors.initials: A
authors.lastname: Johnsson
authors.forename: C
authors.initials: C
authors.lastname: Nordborg
authors.forename: A
authors.initials: A
authors.lastname: Jeppsson
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D000856:Anorexia Nervosa / Q000150:complications*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D015992:Body Mass Index; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome