Painless acute aortic dissection presenting with syncope and bradycardia

Serinken M., ERDUR B., TÜRKÇÜER İ., Ergun N., KARCIOĞLU Ö.

TURKISH JOURNAL OF EMERGENCY MEDICINE, vol.8, no.1, pp.37-40, 2008 (ESCI) identifier

  • Publication Type: Article / Article
  • Volume: 8 Issue: 1
  • Publication Date: 2008
  • Journal Name: TURKISH JOURNAL OF EMERGENCY MEDICINE
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus
  • Page Numbers: pp.37-40
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

Aortic dissection is an uncommon life-threatening condition that may cause death or significant morbidity. An on time diagnosis is difficult in cases with atypical presentation. A "classical" presentation encompasses sudden, severe chest, back, or abdominal pain that is characterized as ripping or tearing. This article reports a case of aortic dissection presented with syncope and bradycardia with no pain. Aortic dissection was diagnosed by a combination of clinical suspicion, emergent bedside echocardiography, and computed tomography scan. The patient underwent immediate surgery, and ultimately dischared with a favourable outcome.