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Aortic Dissection and Hypotension Without Cardiac Tamponade: A Case Report
1Community Care, Unnan City Hospital, Unnan, JPN.
Cureus
|October 4, 2023
Summary
Ascending aortic dissection can present atypically with symptoms like vertigo, not just chest pain. Early recognition of unusual signs is vital for timely diagnosis and treatment, especially in rural areas.
Area of Science:
- Cardiology
- Vascular Surgery
- Emergency Medicine
Background:
- Ascending aortic dissection (AAD) classically presents with severe chest or back pain.
- Atypical presentations can delay diagnosis, particularly in resource-limited settings.
Observation:
- A 74-year-old woman presented with vertigo, nausea, and vomiting, lacking typical AAD symptoms.
- Computed tomography angiography confirmed AAD extending to the common carotid arteries.
Findings:
- The patient exhibited cerebral hypoperfusion and hypotension without tachycardia, an unusual AAD manifestation.
- This case highlights the diagnostic challenge posed by non-traditional symptoms.
Implications:
- Clinicians must maintain a high index of suspicion for AAD even with atypical symptoms.
- Recognizing sex disparities in symptom presentation, especially in women, is crucial.
- Timely intervention for AAD, even in rural settings, requires awareness of diverse clinical signs.
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