We recently encountered a case of a patient with painless aortic dissection presenting with transient weakness of lower limbs, dizziness, palpitation and discomfort in chest. His D-dimer increased remarkably. Initial diagnosis was hypertensive heart disease and then pulmonary embolism. Finally, by CT, he was diagnosing DeBakey I aortic dissection. Aortic dissection has much clinical feature not only severe pain in chest, especially in the aged. D-dimer always increases in aortic dissection.
Sisen Zhang and Yingxin Cen
All Published work is licensed under a Creative Commons Attribution 4.0 International License
Copyright © 2018 All rights reserved. iMedPub LTD Last revised : March 23, 2018