Recurrent Aortic Dissection Causing Acute Stroke

Authors

Jovan A. Gayle, HCA HealthcareFollow
Israel E. Acosta-Sanchez, HCA HealthcareFollow
Anthony Chahin, HCA HealthcareFollow
Ali Ashraf, HCA HealthcareFollow
Ankur Garg, HCA HealthcareFollow

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Poster

Publication Date

10-2019

Keywords

aortic dissection, acute stroke, hemiparesis, myocardial infarction, critical care

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine | Therapeutics

Abstract

The clinical presentation of acute aortic dissection is well known, and includes tearing retrosternal chest pain, hypertension and pulse asymmetry. However, 10-15% of dissections have no chest pain, and recurrent aortic dissections are often painless. Here we present a case of a painless, recurrent aortic dissection presenting as sudden onset left hemiparesis due to multiple right sided infarcts.

Publisher or Conference

American College of Chest Physicians Annual Meeting

Recommended Citation

Gayle J, et al. Recurrent Aortic Dissection Causing Acute Stroke. Chest. 2019;156(4, Supplement):A1424. doi:10.1016/j.chest.2019.08.1268