Painless aortic dissection presenting with acute ischaemic stroke and multiple organ failure

DEMİRCAN A., Aksay E., Ergin M., BİLDİK F., KELEŞ A., AYGENCEL BIKMAZ Ş. G.

EMERGENCY MEDICINE AUSTRALASIA, cilt.23, sa.2, ss.215-216, 2011 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 23 Sayı: 2
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1111/j.1742-6723.2011.01389.x
  • Dergi Adı: EMERGENCY MEDICINE AUSTRALASIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.215-216
  • Anahtar Kelimeler: aortic dissection, ischaemic stroke, multiple organ failure
  • Dokuz Eylül Üniversitesi Adresli: Hayır

Özet

Acute aortic dissection is an uncommon, life-threatening catastrophe, and early diagnosis is essential for the best chance of survival. Although acute onset of severe chest or back pain is the most common presenting symptom, some patients might present with atypical symptoms and findings such as acute stroke and mesenteric ischaemia related to the involving arterial segment. Establishing the diagnosis of aortic dissection can be difficult in the presence of atypical symptoms, especially in the absence of pain. Here, we report a case of acute, painless aortic dissection presenting with multiple organ failure and neurological deficits suggesting acute ischaemic stroke.