Asymptomatic long-segmental type A aortic dissection diagnosed by transthoracic echocardiography: A case report and literature review

J Clin Ultrasound. 2020 Nov;48(9):574-578. doi: 10.1002/jcu.22889. Epub 2020 Jul 5.

Abstract

Aortic dissection (AD) is a life-threatening disease. Patients usually experience severe pain in the chest, back, or abdomen, but some patients report a variety of other symptoms without pain. Completely asymptomatic AD is sporadic and probably under-recognized. The present study aimed to (a) report an extremely rare case of asymptomatic long-segmental type A AD, wherein exaggeratedly low diastolic blood pressure and broad pulse pressure were the primary signs, and (b) summarize the clinical characteristics of asymptomatic AD through the literature review.

Keywords: aortic dissection; asymptomatic; transthoracic echocardiography.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aged, 80 and over
  • Aortic Dissection / diagnostic imaging*
  • Chest Pain / etiology
  • Echocardiography / methods*
  • Female
  • Humans
  • Male
  • Middle Aged