Hattab Oumayma, Amaqdouf Saida, El Ouafi Noha, Bazid Zakaria
Department of Cardiology, Mohammed VI University Hospital of Oujda, Mohammed First University of Oujda, Oujda, Morocco.
Laboratory of Epidemiology, Clinical Research and Public Health, Faculty of Medicine and Pharmacy, Mohammed the First University of Oujda, Oujda, Morocco.
Radiol Case Rep. 2022 Jul 9;17(9):3294-3297. doi: 10.1016/j.radcr.2022.06.028. eCollection 2022 Sep.
Aortic dissection is a life-threatening condition with a higher mortality rate. Early diagnosis enhances the prognosis of this disease; however, while chest pain is the most common symptom, we can occasionally find asymptomatic patients, making diagnosis more difficult and even missed, it is an uncommon entity with few data in the literature based exclusively on reported cases. Here, we report a case of completely asymptomatic long segmental aortic dissection in a 66-year-old male, with a recent history of controlled hypertension. The diagnosis was made by noninvasive methods, and the patient was referred for surgical treatment. Aortic dissections that are painless provide a significant challenge to physicians in terms of improving prognosis for this frequently misdiagnosed yet lethal illness. The main goal of this report is to bring attention to the misdiagnosed signs and symptoms of aortic dissection.
主动脉夹层是一种威胁生命的疾病，死亡率较高。早期诊断可改善该病的预后；然而，虽然胸痛是最常见的症状，但我们偶尔会发现无症状患者，这使得诊断更加困难甚至被漏诊，这是一种罕见的疾病，基于报告病例的文献资料很少。在此，我们报告一例66岁男性完全无症状的长节段主动脉夹层病例，近期有高血压控制史。诊断通过非侵入性方法做出，患者被转诊接受手术治疗。无痛性主动脉夹层对医生改善这种经常被误诊但致命疾病的预后构成了重大挑战。本报告的主要目的是引起对主动脉夹层误诊体征和症状的关注。
