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Acute aortic dissection due to long-term steroid therapy for Addison's disease
Acute aortic dissection due to long-term steroid therapy for Addison's disease
Mustafa Saçar, Ahmet Baltalarlı, Fahri Adalı, Bilgin Emrecan, Gökhan Önem
Department of Cardiovascular Surgery, Medicine Faculty of Pamukkale University, Denizli
A 19-year-old man was admitted to our clinic with a complaint
of sudden-onset chest pain radiating to the back,
which started two days ago. The patient, who had been
receiving steroid therapy for Addison's disease for 17 years
was diagnosed with acute type 2 aortic dissection. Bentall
procedure was performed as an emergency surgical therapy
under cardiopulmonary bypass by using hypothermic semiselective
antegrade cerebral perfusion via right axillary
artery. The patient was discharged with complete recovery
on postoperative 11th d ay. L ong-term s teroid t herapy m ay
lead to a rise in blood pressure and subsequently to aortic
dissection. While there are cases in the literature that
developed acute aortic dissection associated with long-term
steroid therapy in various diseases such as systemic lupus
erythematosus, temporal arteritis, and aortitis syndrome,
reports about the concurrent presence of Addison's disease
and aortic dissection are very rare.
Keywords : Addison disease; aortic dissection; steroid therapy
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