Case Of Aortic Dissection Presenting Research Articles

A case of aortic dissection presenting with a transient ischemic attack

Aortic dissection (AD) is the rupture of the aortic intima, separation of the tunica media and blood filling into the wall. It is an exceedingly rare life-threatening disease with a high mortality rate. The pathogenesis of AD is multifactorial and aortic diseases such as aortic dilatation, aneurysm, ectasia, arteritis, bicuspid aorta, aortic arch hypoplasia, coarctation, chromosomal abnormalities (Turner, Noonan), connective tissue disease (Marfan, Ehlers-Danlos) are well-defined risk factors for aortic dissection. Chest pain is the most common clinical presentation of AD. Cardiovascular and neurological systems are often affected. Patients with AD may also present with unexpected symptoms such as syncope, hemiparesis-hemiplegia, paraparesis-paraplegia, myocardial infarction, dysphagia, and side pain. In this article, we present a patient who presented to the emergency department with neck pain, amaurosis fugax, and hypotension, who was admitted to the neurology ward with suspicion of transient ischemic attack and diagnosed with aortic dissection.

A Case of Aortic Dissection Presenting as CVA with Pulmonary Embolism

Aortic dissection is a life threatening condition of the aorta. Early diagnosis and management can reduce the patient’s morbidity and mortality; hence one should have a high index of suspicion for this condition. This case reports a 53 yrs old male presenting with headache, slurring of speech, Rt leg weakness with dyspnoea and sweating. A patient of aortic dissection can present in many ways depending on the site involved and may mimic other disorders like ACS, PE or CVA. Therefore, clinicians must always be aware of aortic dissection and its different clinical manifestations.

Aortic Dissection Presenting as Isolated Lower Leg Ischemia

Background: Aortic dissections that present only with symptoms of lower extremity ischemia are rare. Few case reports exist documenting this phenomenon. Objectives: We report an unusual case of aortic dissection presenting as unilateral lower extremity pain. Case Report: A 56-year-old man presented with left lower extremity pain of 1 h duration. He had no associated complaints. Doppler imaging revealed decreased flow in the left iliac artery, thus, initial treatment with anticoagulation was begun for presumptive obstruction. Subsequent imaging with arteriography revealed a Stanford type A/DeBakey type 1 aortic dissection. This was confirmed by computer-assisted tomography angiography, and the patient was taken to surgery for repair. Conclusion: It is important to consider the connection between lower extremity symptoms and possible aortic dissection.

Aortic Dissection Presenting as an Acute Ischemic Stroke for Thrombolysis

Thrombolysis for the treatment of acute ischemic stroke requires careful selection of patients. The authors report a case of aortic dissection presenting with acute ischemic stroke for which emergent ultrasonographic evaluation was helpful in the diagnosis and subsequent treatment. The patient presented with acute middle cerebral artery ischemic stroke symptoms and complained of bilateral ear and chest pain. Chest x-ray, cardiac enzymes, and transthoracic echocardiogram were normal, and she was considered for thrombolytic therapy. Carotid ultrasound revealed right common carotid occlusion that led to the diagnosis of aortic dissection, confirmed by chest computed tomography. An experienced sonographer with skills to perform rapid intra- and extracranial examinations may help to change the treatment plan for acute stroke patients.

Aortic Dissection Presenting as an Acute Ischemic Stroke for Thrombolysis

ABSTRACTThrombolysis for the treatment of acute ischemic stroke requires careful selection of patients. The authors report a case of aortic dissection presenting with acute ischemic stroke for which emergent ultrasonographic evaluation was helpful in the diagnosis and subsequent treatment. The patient presented with acute middle cerebral artery ischemic stroke symptoms and complained of bilateral ear and chest pain. Chest x‐ray, cardiac enzymes, and transthoracic echocardiogram were normal, and she was considered for thrombolytic therapy. Carotid ultrasound revealed right common carotid occlusion that led to the diagnosis of aortic dissection, confirmed by chest computed tomography. An experienced sonographer with skills to perform rapid intra‐ and extracranial examinations may help to change the treatment plan for acute stroke patients.