Aortic dissection and pulmonary embolism: a fatal combination: а case report

The article describes a rare case of lifetime diagnosis of a combination of massive pulmonary embolism and aortic dissection (DeBakey type I, Stanford type A) in a 42-year-old male patient with hypertension, obesity and gout. The combination of these potentially fatal pathologies, even with timely diagnosis, significantly complicates the choice of treatment strategy, since the use of antithrombotic agents for pulmonary embolism is absolutely contraindicated in aortic dissection, and successful surgical treatment in these cases are extremely rare. The case is illustrated by paraclinical examination and autopsy data.