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An extensive chronic aortic dissection presenting with acute embolic stroke.

Authors
  • Basnet, Sijan1
  • Mainali, Naba Raj2
  • Tharu, Biswaraj3
  • Dhital, Rashmi1
  • Poudel, Dilli Ram1
  • 1 Department of Medicine, Reading Health System, West Reading, PA, USA.
  • 2 Jefferson Medical College, Philadelphia, PA, USA .
  • 3 Maharajgunj Medical Campus, Tribhuvan University, Kathmandu, Nepal. , (Nepal)
Type
Published Article
Journal
Journal of Community Hospital Internal Medicine Perspectives
Publisher
Informa UK (Taylor & Francis)
Publication Date
Jan 01, 2017
Volume
7
Issue
5
Pages
314–317
Identifiers
DOI: 10.1080/20009666.2017.1379854
PMID: 29147475
Source
Medline
Keywords
License
Unknown

Abstract

Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.

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