Ryan Palludan-18

Name: Deborah Palludan
Email: dolphyndeb@aol.com
Age at time of Dissection: 18
Type of Dissection: Both Ascending and Descending
Date of Aortic Dissection: 18 August 2013
Tell Us Your Story:

My son Ryan died on 8/18/13 from a ruptured aortic dissection. He was 18 years old and had just checked into college. I had taken him to the ER two months earlier with acute onset of chest pain that woke him up. His BP was 167/72, they did an EKG that was normal as my father died suddenly at age 36. They did not recheck his BP and said he had CostoChondritis. They went on to say that they had never seen a teenager present to the ER with chest pain that had a cardiac reason.

When Ryan developed pain to his back and abdomen when working out that was acute we thought it was a bad pulled muscle and not cardiac related because of what the ER doctors said. He continued to have pain and died in his sleep from a ruptured dissection and tear in the aorta that resulted in a hemopericardium. The ME report showed evidence of an old dissection. Can you be asymptomatic after the initial dissection clots? And what else could have been done in the ER. They did not do an CXR pedal pulses or repeat his BP prior to discharge.

5 Comments


  1. So sorry to hear of your loss it must be devastating to lose a son like that.You have my greatest sympathy. I don’t have any medical answers
    for you I’m retired firefighter and had a dissenting aortic dissection at age 65. 75 now.


  2. Dear Deborah,
    I am so sorry to hear of the loss of your son Ryan. There js no greater loss in this world than that of ones child. I have had two open heart surgies. First @ 47 in 2003. ( Ascending Aortic Dissection ), second surgery to replace the shield from the first and repair 4 Aneuryisms ,(2012). Almost 10 years apart to the day! I did have 2 months to prepare for the second surgery, where as the first I was Life Flighted. I am telling you this as three days before the first rupture I felt a strange sensation and ignored it. SO much has been leaned in the last ten years thanks very much to Brian and this sight. Secondly to John Ritter Foundation. Personally I find this sight putting out a lot more information than the latter, however the name “Ritter” has certainly helped. I don’t think if I had been taken to my local hospital 10 years ago, that I would have received the proper diagnosis. Please, as painful as I am sure it must be for you, please if you can, keep Ryan’s story alive! No one should be miss diagnosed and especially not the young. Again. my sincerest sympathy to you and all of Ryans loved ones.
    Regina Kurn


  3. Dear Deborah, I am so sad for losing your son. It stops my busy life when I hear that people go to an emergency room and put faith iin the hands of the medical personell, to find themselves wondering what else could have been done.

    My mother survuved a painful dissection of her aorta in the chest and abdomen, then died 18 months later. Looking back at the subtle things she said on Mother’s Day and the few weeks before, I’m sure she died from an extension of the same problem. She was at the cardiologist the day before, without symptoms.

    I am a critical care nurse, and from that perspective, I’d like to tell you the history you discuss with a doctor or nurse is a huge part of identifying a problem. Your father died suddenly and early in life is key information.
    If they checked him over, pulses on both sides, high blood pressure for a young person, then an important test would be a CT scan of chest and abdomen.

    Like you, I wonder about what could have changed in my mom’s case. I had my mom until she was 81 years old. As a nurse, I am very in tune to listening to my patients symptoms and what they tell me about their family history. I read these stories on this web site and hope it helps me help someone in my career. Ryan’s story is in my heart.

    God bless you and your family. I am saddened by your loss.


  4. Deborah, As has been stated, MY heart goes out to you, I was a career firefighter when I suffered an Ascending Dissection Oct 8, 2009. once I got home for recovery I began to read and learn how extensive AD has become. and its much more troubling when young people Like Ryan suffer the issue. The general Populace does Not realize or understand that seemingly healthy teens and young adults can suffer these issues… naturally the Nature of the severity makes it even worse… My thoughts and Prayers are with you and your family….


  5. Deborah, God please you and your family…. Brad Padgett

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