Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
  • Yasaman Navari
    Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA
  • Ajit Brar
    Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA
  • Bibek Karki
    Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA; Department of Public Health, State University of New York, Albany, New York, USA
  • Samir Elian
    Department of Internal Medicine, Division of Cardiology, Michigan State University at Hurley Medical Center, Flint, Michigan, USA

Keywords

Type A aortic dissection, Bentall procedure, atypical symptoms

Abstract

This case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient’s initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac tamponade, leading to emergency surgery. Subsequent diagnostic findings revealed an intramural haematoma with an intimal tear in the ascending aorta. Postoperatively, the patient experienced an ischaemic stroke, necessitating prompt neurology consultation and treatment. This report underscores the significance of early recognition and collaborative management in achieving positive patient outcomes.

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    Published: 2023-09-21
    Issue: 2023: Vol 10 No 11 (view)

    How to cite:
    1.
    Navari Y, Brar A, Karki B, Elian S. Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms. EJCRIM 2023;10 doi:10.12890/2023_004081.