Nursing Care of a Patient with Coronary Anomaly Undergoing Aortic Dissection Surgery: A Case Report

Abstract

Type I and Type II Aortic Dissection is a condition that requires urgent surgical treatment. Because of its potential to affect all organs, these patients should be operated on without delay. Patients may experience other symptoms such as myocardial infarction (MI), abdominal pain, fainting, confusion, hemiparesis, hemiplegia, severe pain in the lower extremity, shortness of breath, or difficulty in swallowing. A 56-year-old male patient with no known diseases was admitted to the emergency department with a sudden onset of severe pain radiating to the back. In the first examination, he was conscious and cooperative, blood pressure was 190/100 mmHg, heart rate was 110/minute, and temperature was 37o C. There was no MI finding in the electrocardiogram of the patient. On echocardiography, the diameter of the ascending aorta was large and there was a flap inside. The patient was diagnosed with Type I aortic dissection after hemogram and CT angiography taken after biochemistry results. The Roper, Logan, and Tierney Model of Nursing has been implemented in this case report for the patient's diagnosis. The patient was discharged with full recovery on the 12th postoperative day after he was admitted to the cardiovascular surgery service. © 2025, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.