<- Home <- Arhive <- Vol. 33, Issue 1, March 2025



Rom J Leg Med33(1)1-4(2025)
DOI:10.4323/rjlm.2025.1
© Romanian Society of Legal Medicine


AORTIC DISSECTION - TWO-STAGE RUPTURE

M. Diac, C. Lucasievici, N. Girlescu, G. Toma, A. Knieling, S. Damian, D. B. Iliescu


Abstract:
Ankylosing spondylitis (AS) is a chronic inflammation with a wide clinical spectrum of articular and extra-articular changes that occurs in genetically predisposed individuals and is triggered by environmental factors. Cardiovascular involvement in HLA-27 positive spondyloarthropathies has been demonstrated by multiple working groups. All studies share findings that include conduction abnormalities and aortic root pathologies (aortitis-type) as well as aortic valve disease (1-4). Several authors (5-10) have highlighted pathological similarities between AS and Marfan syndrome (MS), suggesting that there may be a common tissue susceptibility factor.
We present the case of a patient with AS who suffered a spinal cord injury and a two-stage bleeding aortic dissection.
Keywords: aortic dissection, ankylopoietic spondylitis, aortitis, collagenosis.



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