Atypical presentation of acute aortic dissection in a young competitive rower. (4th September 2018)

• Record Type: Journal Article
• Authors: Saunders, Tim; Suzuki, Toru
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-09-04
• Subjects: valvar diseases -- emergency medicine -- sudden death in sport; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-225712
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 27-year-old man (who is also the lead author) presented with dull pain deep to the suprasternal notch, following a period of intense exercise (rowing). He was initially sent home with no diagnosis, but 24 hours later returned to a different Accident & Emergency (A&E), due to continued discomfort and an increasingly altered mental state, and was diagnosed with an extensive type A aortic dissection extending from the aortic root to the iliac bifurcation of the aorta, with an ~8 cm aneurysm on the ascending aorta and a diseased aortic valve. Following emergency surgery to replace the aortic valve and the aorta from the aortic root to the middle of the aortic arch (hemiarch), the patient recovered well.