Aortic dissection: A life-threatening stroke mimicker

Nurul Huda Ahmad, Toh Leong Tan

Research output: Contribution to journalArticle

Abstract

Aortic dissection is a life-threatening cardiovascular emergency, and despite medical advances, its diagnosis is often shrouded by the diversity of its clinical presentation. Physician must have high index of suspicion, especially in those with unusual combination of features that may occur in acute painless dissection. We report a case of a man presented with right-sided weakness and syncope associated with pulse deficits at multiple levels. Physical examination of the lower limb is consistent with acute limb ischemia. Computed tomogram thorax done after emergency embolectomy revealed extensive Stanford type A aortic dissection down to the level of abdominal aortic bifurcation. The diagnosis of aortic dissection is delayed due to his atypical symptoms, which is likely resulted from malperfusion syndrome of aortic dissection.

Original languageEnglish
Pages (from-to)98-101
Number of pages4
JournalHong Kong Journal of Emergency Medicine
Volume25
Issue number2
DOIs
Publication statusPublished - 1 Jan 2018

Fingerprint

Dissection
Stroke
Emergencies
Embolectomy
Syncope
Physical Examination
Pulse
Lower Extremity
Thorax
Ischemia
Extremities
Physicians

Keywords

  • Aneurysm
  • Aorta
  • Aortic dissection
  • Malperfusion
  • Stroke

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Aortic dissection : A life-threatening stroke mimicker. / Ahmad, Nurul Huda; Tan, Toh Leong.

In: Hong Kong Journal of Emergency Medicine, Vol. 25, No. 2, 01.01.2018, p. 98-101.

Research output: Contribution to journalArticle

@article{8aeabaab68bc4037a196b5d347555b60,
title = "Aortic dissection: A life-threatening stroke mimicker",
abstract = "Aortic dissection is a life-threatening cardiovascular emergency, and despite medical advances, its diagnosis is often shrouded by the diversity of its clinical presentation. Physician must have high index of suspicion, especially in those with unusual combination of features that may occur in acute painless dissection. We report a case of a man presented with right-sided weakness and syncope associated with pulse deficits at multiple levels. Physical examination of the lower limb is consistent with acute limb ischemia. Computed tomogram thorax done after emergency embolectomy revealed extensive Stanford type A aortic dissection down to the level of abdominal aortic bifurcation. The diagnosis of aortic dissection is delayed due to his atypical symptoms, which is likely resulted from malperfusion syndrome of aortic dissection.",
keywords = "Aneurysm, Aorta, Aortic dissection, Malperfusion, Stroke",
author = "Ahmad, {Nurul Huda} and Tan, {Toh Leong}",
year = "2018",
month = "1",
day = "1",
doi = "10.1177/1024907917745155",
language = "English",
volume = "25",
pages = "98--101",
journal = "Hong Kong Journal of Emergency Medicine",
issn = "1024-9079",
publisher = "Medcom Limited",
number = "2",

}

TY - JOUR

T1 - Aortic dissection

T2 - A life-threatening stroke mimicker

AU - Ahmad, Nurul Huda

AU - Tan, Toh Leong

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Aortic dissection is a life-threatening cardiovascular emergency, and despite medical advances, its diagnosis is often shrouded by the diversity of its clinical presentation. Physician must have high index of suspicion, especially in those with unusual combination of features that may occur in acute painless dissection. We report a case of a man presented with right-sided weakness and syncope associated with pulse deficits at multiple levels. Physical examination of the lower limb is consistent with acute limb ischemia. Computed tomogram thorax done after emergency embolectomy revealed extensive Stanford type A aortic dissection down to the level of abdominal aortic bifurcation. The diagnosis of aortic dissection is delayed due to his atypical symptoms, which is likely resulted from malperfusion syndrome of aortic dissection.

AB - Aortic dissection is a life-threatening cardiovascular emergency, and despite medical advances, its diagnosis is often shrouded by the diversity of its clinical presentation. Physician must have high index of suspicion, especially in those with unusual combination of features that may occur in acute painless dissection. We report a case of a man presented with right-sided weakness and syncope associated with pulse deficits at multiple levels. Physical examination of the lower limb is consistent with acute limb ischemia. Computed tomogram thorax done after emergency embolectomy revealed extensive Stanford type A aortic dissection down to the level of abdominal aortic bifurcation. The diagnosis of aortic dissection is delayed due to his atypical symptoms, which is likely resulted from malperfusion syndrome of aortic dissection.

KW - Aneurysm

KW - Aorta

KW - Aortic dissection

KW - Malperfusion

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=85056997801&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85056997801&partnerID=8YFLogxK

U2 - 10.1177/1024907917745155

DO - 10.1177/1024907917745155

M3 - Article

AN - SCOPUS:85056997801

VL - 25

SP - 98

EP - 101

JO - Hong Kong Journal of Emergency Medicine

JF - Hong Kong Journal of Emergency Medicine

SN - 1024-9079

IS - 2

ER -