Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms

This case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient’s initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac tamponade, leading to emergency surgery. Subseq...

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Main Authors: Yasaman Navari, Ajit Brar, Bibek Karki, Samir Elian
Format: Article
Language:English
Published: SMC MEDIA SRL 2023-09-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/4081
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author Yasaman Navari
Ajit Brar
Bibek Karki
Samir Elian
author_facet Yasaman Navari
Ajit Brar
Bibek Karki
Samir Elian
author_sort Yasaman Navari
collection DOAJ
description This case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient’s initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac tamponade, leading to emergency surgery. Subsequent diagnostic findings revealed an intramural haematoma with an intimal tear in the ascending aorta. Postoperatively, the patient experienced an ischaemic stroke, necessitating prompt neurology consultation and treatment. This report underscores the significance of early recognition and collaborative management in achieving positive patient outcomes.
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spelling doaj.art-dd70dad658b04f9899b0a330ff8353cf2023-10-30T11:03:54ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942023-09-0110.12890/2023_0040813616Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptomsYasaman Navari0Ajit Brar1Bibek Karki2Samir Elian3Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USADepartment of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USADepartment of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA; Department of Public Health, State University of New York, Albany, New York, USADepartment of Internal Medicine, Division of Cardiology, Michigan State University at Hurley Medical Center, Flint, Michigan, USAThis case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient’s initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac tamponade, leading to emergency surgery. Subsequent diagnostic findings revealed an intramural haematoma with an intimal tear in the ascending aorta. Postoperatively, the patient experienced an ischaemic stroke, necessitating prompt neurology consultation and treatment. This report underscores the significance of early recognition and collaborative management in achieving positive patient outcomes.https://www.ejcrim.com/index.php/EJCRIM/article/view/4081type a aortic dissectionbentall procedureatypical symptoms
spellingShingle Yasaman Navari
Ajit Brar
Bibek Karki
Samir Elian
Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
European Journal of Case Reports in Internal Medicine
type a aortic dissection
bentall procedure
atypical symptoms
title Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
title_full Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
title_fullStr Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
title_full_unstemmed Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
title_short Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
title_sort painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms
topic type a aortic dissection
bentall procedure
atypical symptoms
url https://www.ejcrim.com/index.php/EJCRIM/article/view/4081
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AT ajitbrar painlessaorticdissectionwithcatastrophicconsequencespresentingassuddenlossofconsciousnesswithnoprodromalsymptoms
AT bibekkarki painlessaorticdissectionwithcatastrophicconsequencespresentingassuddenlossofconsciousnesswithnoprodromalsymptoms
AT samirelian painlessaorticdissectionwithcatastrophicconsequencespresentingassuddenlossofconsciousnesswithnoprodromalsymptoms