Case Report

Aortic Dissection and Renal Failure in a Patient with Severe Hypothyroidism

Table 1

Predisposing factors and associations reported in patients with aortic dissection [610].

Hypertension**
Atherosclerosis**
Connective tissue Disorders:
 Ehlers-Danlos syndrome
 Marfan syndrome
 Loeys-Dietz syndrome
 Annuloaortic ectasia
Inflammatory diseases/Vasculitides:
 Giant cell arteritis
 Takayasu arteritis
 Rheumatoid arthritis
 Syphilitic aortitis
Procedural associations/Trauma:
 After a coronary artery bypass graft surgery (CABG)
 Previous aortic valve replacement
 Cardiac catheterization
 Trauma
Other associations:
 Peripartum
 Preexisting aortic aneurysm
 Bicuspid aortic valve
 Aortic coarctation
 Turner syndrome
 Crack cocaine

** Systemic hypertension is the most important predisposing factor, followed by atherosclerosis.