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Atypical presentation of acute aortic dissection: a case report


Journal of Cardiology & Current Research
Diego Abreo,1 Giovanny Moncayo,2 Tatiana Arroyave,3 Gabriel Caicedo4

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Abstract

We present the clinical case of an 80-year-old woman admitted to the emergency department with jaw pain and acute neurovascular impairment with right arm monoparesis, pulse deficit and pallor of the limb, without chest pain as a cardinal symptom. The history of arterial hypertension, aortic stenosis, and clinical manifestation suggested an acute vascular compromise, for which acute aortic syndrome (AAS) was suspected. Chest x- rays revealed mediastinal widening; angio-CT scan confirmed type-A aortic dissection affecting the right subclavian artery (thrombosis). The patient passed away after expectant non-surgical management.

Keywords

acute aortic syndrome, thrombosis, chest X-rays, vascular affection, anti-impulse therapy, AAD, acute aortic dissection, AAS, AD, aortic dissection, IRAD, international registry of acute aortic dissection

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