Abstract

Aortic dissection is infrequent and affects mainly males. We present a 44-year-old male patient with a history of arterial hypertension who presented chest pain which was alleviated spontaneously, in the guardhouse a restless patient was seen, with pain in the upper abdomen, BP 170/100, saturation 98%, FC 100x´, FR 20x´, oliguria. Complementary tests were indicated and while the patient was on guard duty, he suffered sudden death. Aortic dissection is life threatening, an immediate diagnosis is essential, although in many cases it is carried out postmortem.

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