2022-10-192022-10-192021-11-19RODRIGUES, Allen Iverson Morais; BARBOSA, Matheus Fonseca. Dissecção aórtica em paciente com covid-19 na região do Xingu, Altamira, Pará: um relato de caso. Orientador: Renan Rocha Granato. 2021. 45 f. Trabalho de Conclusão de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Campus Universitário de Altamira, Universidade Federal do Pará, Altamira, 2021. Disponível em: https://bdm.ufpa.br:8443/jspui/handle/prefix/4596. Acesso em:.https://bdm.ufpa.br/handle/prefix/4596The coronavirus outbreak spread quickly around the world, with droplet dissemination and fast symptom onset, including: fever, fatigue, and cough. Mortality rate is higher among patients with comorbidities, especially cardiovascular. Frequent complications are dyspnoea, severe acute respiratory syndrome (SARS) and organic dysfunctions. Aortic dissection is somewhat infrequent, however, recent literature reveals an indirect association between coronavirus infection and aortic dissection, as incidence and mortality rates are more elevated recently compared to before the pandemic. Thus, it is wise to be aware of suggestive signals, symptoms, and risk factors of dissection in patients with coronavirus infection. Mortality among these patients is elevated due to a need for emergency surgery, misdiagnosis in hospitals that lack suitable complementary exams, the need of precaution measures to the team in charge, and pragmatic and effective clinical-surgical management protocols. This study portrays a case report about a patient with Stanford type A aortic dissection after COVID-19 diagnosis to highlight clinical complications during the coronavirus pandemic. A 42-year-old male patient, who was hypertensive, smoked, and has basal cardiac insufficiency was hospitalized due to COVID-19, where he developed intense abdominal pain radiating to his back. He was subsequently discharged without additional investigation. Following his discharge, the patient complained of abdominal pain with progressive dyspnoea and sought cardiology support. Doppler echocardiogram detected a chronic thoracic aortic dissecting aneurysm, possibly left undiagnosed due to its atypical presentation. He was hospitalized again to intensive care, while transportation to a higher centre that dispenses hemodynamic support was arranged. Computerized tomography with endovenous contrast measured the aneurysm at 61 x 60 mm. Transportation was delayed due to the pandemic, resulting in his death. We believe coronavirus infection may have triggered the dissection of a previous aortic aneurysm, with a presumed aetiology based on his medical history of inveterate smoking and uncontrolled systemic arterial hypertension. However, a connection between SARS-CoV-2 and aortic aneurysm has yet to be established, so extensive research is necessary to confirm this hypothesis.Acesso AbertoCovid-19PandemiasAneurisma dissecanteRelatos de casosPandemicsAneurysm dissectingCase reportsCNPQ::CIENCIAS DA SAUDE::MEDICINATrabalho de Curso - Graduação - Monografia