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Journal of Case Reports
Painless Acute Aortic Dissection Presenting to the Emergency Department
Anil Kumar Kadamba, Ankur Verma, Wasil Rasool Sheikh, Meghna Haldar, Abhishek Snehy, Sanjay Jaiswal
Department of Emergency Medicine, Max Super Specialty Hospital, I.P. Extension, New Delhi, India.
Corresponding Author:
Dr Anil Kumar Kadamba
Email: anildoc02@gmail.com
Received: 08-DEC-2018 Accepted: 20-ARR-2019 Published Online: 10-MAY-2019
DOI: http://dx.doi.org/10.17659/01.2019.0025
Abstract
Background: Acute aortic dissections are highly fatal and are usually a postmortem diagnosis. Painless acute aortic dissections can lead to delay in diagnosis and catastrophic results for the patient. Type A dissections extending into the vessels of the brain and neck can cause cerebral hypo-perfusion leading to neurological symptoms. Marfan syndrome and other connective tissue disorders are more susceptible to be diagnosed with acute aortic dissections. Case Report: We present a rare case of acute dissection presenting with dizziness and underwent surgical intervention. Conclusion: Identification of acute aortic dissection with atypical presentation is a challenging task for emergency physicians.
Keywords : Aortic Dissection, Brain, Dizziness, Humans, Marfan Syndrome, Vertigo.
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