Aortic dissection: A life-threatening stroke mimicker
作者: Nurul Huda AhmadToh Leong Tan
作者单位: 1Emergency Medicine Unit, Faculty of Medicine, MARA University of Technology, Sungai Buloh, Malaysia
2Department of Emergency Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
刊名: Hong Kong Journal of Emergency Medicine, 2018, Vol.25 (2), pp.98-101
来源数据库: Sage Publications, Inc.
DOI: 10.1177/1024907917745155
关键词: AortaAortic dissectionAneurysmStrokeMalperfusion
原始语种摘要: Aortic dissection is a life-threatening cardiovascular emergency, and despite medical advances, its diagnosis is often shrouded by the diversity of its clinical presentation. Physician must have high index of suspicion, especially in those with unusual combination of features that may occur in acute painless dissection. We report a case of a man presented with right-sided weakness and syncope associated with pulse deficits at multiple levels. Physical examination of the lower limb is consistent with acute limb ischemia. Computed tomogram thorax done after emergency embolectomy revealed extensive Stanford type A aortic dissection down to the level of abdominal aortic bifurcation. The diagnosis of aortic dissection is delayed due to his atypical symptoms, which is likely resulted from...
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  • dissection 切割
  • aortic 织脉的
  • threatening 险恶的
  • stroke 笔划
  • embolectomy 栓子切除术
  • abdominal 腹部的
  • despite 不管
  • shrouded 有罩的
  • diagnosis 特镇述
  • cardiovascular 心血管的