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
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