A Painless Thoracic Aortic Dissection

Youssef Mahmoud; Tamer Shalaby; Nazia Rashid

doi:10.12890/2016_000443

A Painless Thoracic Aortic Dissection

Youssef Mahmoud SHO General Internal Medicine, Ashford and St. Peters NHS Foundation Trust, Ashford
Tamer Shalaby ST7 Acute and General Internal Medicine HEKSS, Ashford and St. Peters NHS Foundation Trust, Ashford
Nazia Rashid Consultant Diabetes, Endocrinology and Acute Medicine, Ashford and St. Peters NHS Foundation Trust, Ashford

DOI: https://doi.org/10.12890/2016_000443

Keywords

Thoracic Aortic Dissection, CT Aortogram, D-dimer, EVAR

Abstract

Thoracic aortic dissection (TAD) has a very high mortality rate and is often missed due to the atypical presentation of patients. We present a case of a man with chronic hypertension, atrial fibrillation (AF) (on regular warfarin) and a previous endovascular aneurysm repair (EVAR), who presented with dyspepsia and was incidentally found to have a ruptured distal thoracic aneurysm on imaging with no obvious clinical signs on examination, nor abnormalities on admission chest x-ray (CXR).

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