A Devastating Tear: Atypical Presentation of Aortic Dissection Discovered on Echocardiography.
aortic diseases
atypical presentation
echocardiography
hypotension
pocus
type a aortic dissection
type b aortic dissection
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
received:
16
05
2023
accepted:
30
05
2023
medline:
3
7
2023
pubmed:
3
7
2023
entrez:
3
7
2023
Statut:
epublish
Résumé
Acute aortic dissection (AAD) is a serious medical problem that requires prompt recognition in order to prevent deadly complications. Nevertheless, making the diagnosis can often be challenging. The clinical signs and symptoms of AAD may vary depending on the location of the dissection, leading to subtle differences in the initial patient presentation. Moreover, the classically described signs of blood pressure disparity, pulse deficit, or the presence of a diastolic murmur are often absent. Here, we report a challenging case of AAD in which the patient presented with acute substernal chest pain that resolved after a short period and was associated with hypotension. His bilateral upper and lower extremities were well perfused with symmetrical, palpable pulses. The initial point-of-care ultrasound (POCUS) showed a small pericardial effusion, and a follow-up echocardiogram revealed an ascending aortic flap with aortic root dilation diagnostic of AAD. Our aim is to shed light on the challenge of diagnosing AAD.
Identifiants
pubmed: 37398768
doi: 10.7759/cureus.39757
pmc: PMC10311282
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e39757Informations de copyright
Copyright © 2023, Alhalaseh et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Catheter Cardiovasc Interv. 2010 Aug 1;76(2):E43-86
pubmed: 20687249
Am J Emerg Med. 2022 Mar;53:16-22
pubmed: 34968970
N Engl J Med. 1987 Oct 22;317(17):1060-7
pubmed: 3309654
J Am Heart Assoc. 2022 Jan 18;11(2):e023053
pubmed: 34984916
Vasc Endovascular Surg. 2010 Apr;44(3):165-9
pubmed: 20308170
JAMA. 2002 May 1;287(17):2262-72
pubmed: 11980527
Nat Rev Cardiol. 2011 Feb;8(2):103-13
pubmed: 21173794
Am J Cardiol. 2005 Jan 1;95(1):48-52
pubmed: 15619393
Circulation. 2018 Apr 24;137(17):1846-1860
pubmed: 29685932
JAMA. 2000 Feb 16;283(7):897-903
pubmed: 10685714
Transl Androl Urol. 2017 Feb;6(1):12-19
pubmed: 28217446
BMC Res Notes. 2009 Feb 20;2:25
pubmed: 19284704