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The Journal of Cardiovascular Surgery 2011 June;52(3):453-5

Copyright © 2011 EDIZIONI MINERVA MEDICA

lingua: Inglese

Acute aortic dissection in a patient with extremely low Body Mass Index due to anorexia nervosa

Kolsrud O. 1, Lepore V. 1, Swärd K. 2, Johnsson A. A. 3, Nordborg C 4, Jeppsson A. 1

1 Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden; 2 Department of Cardiothoracic Anesthesia and Intensive Care, Sahlgrenska University Hospital Gothenburg, Sweden; 3 Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden; 4 Department of Pathology. Sahlgrenska University, Hospital, Gothenburg, Sweden


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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 Max 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.

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