PAINLESS ACUTE AORTIC DISSECTION: BE AWARE OF MISDIAGNOSIS AND RULING OUT A SERIOUS DANGER.

  • Cardiology Department, Ibn Sina hospital -Rabat - Maroc.
  • Cardiology Department, Simone Veil hospital - Eaubonne - France.
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The aortic dissection is a relatively rare but fatal event; it is often misdiagnose in front of a very variable clinical presentation and falsely reassuring. We report a case of a 45-year-old hypertensive smoking patient, admitted to the emergency department for fatigue sensation and discomfort ,physical examination revealed a rough systolic murmur and the transthoracic echocardiography showed a dissection flap from the ascending aorta to the thoracic aorta and a moderate acute IAo, emergency CT angiography showed a type A aortic dissection from supra aortic trunks to iliac arteries, the patient was transferred to cardiac surgery and was operated immediately with a satisfactory postoperative transthoracic echocardiography and CT angiography control. Through this case and a review of the literature we would like to shed light on this non-exceptional case that can be catastrophic if not diagnosed and managed promptly.

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[Karima Bentahar, Soumia Saidi and V.Dormagen. (2019); PAINLESS ACUTE AORTIC DISSECTION: BE AWARE OF MISDIAGNOSIS AND RULING OUT A SERIOUS DANGER. Int. J. of Adv. Res. 7 (May). 432-436] (ISSN 2320-5407). www.journalijar.com

Karima Bentahar
Cardiology B Department, Ibn Sina hospital –RABAT–MAROC

DOI:

Article DOI: 10.21474/IJAR01/9056      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9056

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