Acute aortic dissection in a patient with unknown hypopituitarism

Program: Abstracts - Orals, Featured Poster Presentations, and Posters
Session: SAT 164-196-Pituitary
Saturday, June 15, 2013: 1:45 PM-3:45 PM
Expo Halls ABC (Moscone Center)

Poster Board SAT-166
Kyung Ae Lee*, Sunhee Kim, Cho-ok Baek, Heung Yong Jin, Hong Sun Baek and Tae Sun Park
Division of Endocrinology and Metabolism, Department of Internal Medicine, Research Institute of Clinical Medicine of Chonbuk National University-Chonbuk National University Hospital, Jeonju, South Korea
Several cases of acute aortic dissection (AAD) associated with corticosteroid or catecholamine excess have been reported. However, AAD with pituitary hormone deficiency has not been reported elsewhere. Therefore, here we present rare case of AAD in a patient with unknown hypopituitarism and review the relevant literature. 53-year-male was brought to emergency department because of acute chest pain and dyspnea. Chest radiograph showed mediastinal widening and AAD, Stanford type A was diagnosed via computed tomography (CT) and transthoracic echocardiography. Hyponatremia was detected on initial laboratory test and further hormonal evaluation showed complete anterior pituitary hormone deficiency without obvious underlying diseases. The patient was normotensive and no previous history of aortic disease. After supportive treatment without vascular surgery and concomitant hormone replacement therapy, dissection was stabilized and decreased intramural hematoma on follow up CT.

Nothing to Disclose: KAL, SK, COB, HYJ, HSB, TSP

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