Painless acute aortic dissection presenting with syncope and bradycardia
Mustafa Serinken1, Bülent ERDUR1, İbrahim TÜRKCÜER1, Nurdan ERGÜN2, Özgür Karcıoglu3
1Pamukkale Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Denizli
2Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, Eskişehir
3Dokuz Eylül Üniversitesi Tıp Fakültesi Acil Tıp Anabilim Dalı, İzmir
Keywords: Aortic dissection, bradycardia, syncope
Abstract
Aortic dissection is an uncommon life-threatening condition that may cause death or significant morbidity. An on time diagnosis is difficult in cases with atypical presentation. A “classical” presentation encompasses sudden, severe chest, back, or abdominal pain that is characterized as ripping or tearing. This article reports a case of aortic dissection presented with syncope and bradycardia with no pain. Aortic dissection was diagnosed by a combination of clinical suspicion, emergent bedside echocardiography, and computed tomography scan. The patient underwent immediate surgery, and ultimately dischared with a favourable outcome.