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Left Mandibular Pain: A Rare Initial Symptom of Acute Aortic Dissection Without Coronary Obstruction

Masaki Tago1, Naoko E Furukawa1, Rika Yamaguchi1

  • 1Department of General Medicine, Saga University Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|July 5, 2017
PubMed

An 88-year-old woman experienced sharp pain in the left mandible for a few minutes 3 days prior to hospital presentation. On the day of hospital presentation, the patient experienced similar pain and cold sweating for more than an hour early in the morning. On arrival, there was only mild discomfort ranging from the left mandible to the neck, without definite pain. Computed tomography revealed Stanford type A acute aortic dissection. Blood vessel prosthesis implantation was performed. Intraoperatively, the coronary arteries were confirmed to be intact. Mandibular pain is a rare but potential symptom of aortic dissection without coronary artery obstruction.

Keywords:
acute aortic dissectionintact coronary arteriesmandibular painvagus nerve

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