An Unusual Presentation Of Aortic Dissection
Dr. Mushtak Talib Abbas(MD)(FRCP)Senior Specialist/Dept of Medicine Hamad general Hospital/Doha-Qatar. E.mail:email@example.com,PO.Box:3050Tel:009745220486,Fax 009744392273
We report a case of painless dissecting aneurysm, mainly involving the descending aorta in a 46-year old Philippine patient, who was admitted to our hospital, presenting with cerebrovascular accident. His medical history was remarkable for hypertension for 9 years. The patient did not have chest or back pain. On clinical examination, it was observed that he had left sided hemiplegia. Computed tomography (CT) of the head showed multiple infarctions. Trans oesophageal echocardiography and Magnetic Resonance Imaging of the chest and abdomen showed dissecting aneurysm in the descending thoracic aorta with big thrombus. The patient was treated conservatively and was discharged in good condition.