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Case Reports
. 2017 Oct 18;7(5):314-317.
doi: 10.1080/20009666.2017.1379854. eCollection 2017.

An extensive chronic aortic dissection presenting with acute embolic stroke

Sijan Basnet  1 , Naba Raj Mainali  2 , Biswaraj Tharu  3 , Rashmi Dhital  1 , Dilli Ram Poudel  1
Affiliations
Case Reports

An extensive chronic aortic dissection presenting with acute embolic stroke

Sijan Basnet et al. J Community Hosp Intern Med Perspect. .

Abstract

Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.

Keywords: Chronic aortic dissection; beta blockers; imaging; seizure; stroke.

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Conflict of interest statement

No potential conflict of interest was reported by the authors.​

Figures

Figure 1.
Figure 1.
Aortic dissection at the level of the upper chest.
Figure 2.
Figure 2.
Aortic dissection at the level of the upper abdomen.
Figure 3.
Figure 3.
Aortic dissection at the level of the pelvis. Figure 1. Aortic dissection at the level of the upper chest.
See this image and copyright information in PMC

References

    1. Tsai TT, Nienaber CA, Eagle KA.. Acute aortic syndromes. Circulation. 2005;112(24):3802–3813. - PubMed
    1. McGee ECJ, Pham DT, Gleason TG. Chronic descending aortic dissections. Semin Thorac Cardiovasc Surg. 2005;17(3):262–267. - PubMed
    1. Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA J Am Med Assoc. 2000;283(7):897–903. - PubMed
    1. Fann JI, Sarris GE, Mitchell RS, et al. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg. 1990;212(6):705–713. - PMC - PubMed
    1. Genoni M, Paul M, Jenni R, et al. Chronic beta-blocker therapy improves outcome and reduces treatment costs in chronic type B aortic dissection. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2001;19(5):606–610. - PubMed

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