Myocardial infarction and haemorrhagic stroke as a rare presentation of acute aortic dissection: a fatal case report.

ABSTRACT:

Background

Type A acute aortic dissection (AAD) is an extremely severe condition, having a high risk of mortality. Initial diagnosis can be deceptive, especially in patients with other confounding presentations.

Case summary

We present the case of a 60-year-old male with a history of endovascular aortic repair for abdominal aortic dissection, in whom a diagnosis of AAD was made, but almost missed, after he presented with stroke signs and left coronary myocardial infarction. Thorough clinical evaluation and point-of-care ultrasound (POCUS) were fundamental to the diagnosis of the underlying condition, which showed the intimal flap in the ascending aorta, aortic insufficiency, and a dissected left common carotid artery. The diagnosis was confirmed with a head and thoracic comp

SUBMITTER: Lasa-Berasain P 

PROVIDER: S-EPMC10635585 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature