ORC ID , Mohammed Abada2 ORC ID , Alyaa Elsayed3 ORC ID , Moustafa Dawood3 ORC ID , Yehia Saleh3 ORC ID , Abdallah Almaghraby3
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CASE REPORT
Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 22-24

Painless aortic dissection presented with acute paraplegia

Correspondence Address:
Dr. Mahmoud Abdelnaby
Cardiology and Angiology Unit, Clinical and Experimental Internal Medicine Department, Medical Research Institute, University of Alexandria, Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCA.IJCA_26_18

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Acute aortic dissection is considered a potentially fatal condition. Neurologic manifestations such as paraplegia are quite rare. We report a case of acute paraplegia in a hypertensive smoker chronic obstructive lung disease patient. Transthoracic echocardiography revealed a dissection flap starting at the aortic annulus and extending to the descending thoracic aorta. Computed tomographic aortography confirmed the diagnosis with a dissection flap extended from the aortic annulus to the entire distal aorta. The patient was referred to another specialized cardiothoracic center, but unfortunately, he died during the surgery.


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