Abstract
Acute aortic syndrome (AAS) is a term that is used to describe a similar clinical profile that may have different underlying pathophysiological mechanisms. It includes classic aortic dissection, intramural aortic hematoma, and penetrating atherosclerotic ulcer. We describe the case of a 77-year-old female who presented with syncope of unknown duration. The chest X-ray was suggestive of a widened mediastinum. The initial work-up with a computed tomography scan and transesophageal echocardiogram failed to diagnose a penetrating atherosclerotic ulcer. We discuss the importance of a high degree of clinical suspicion for AAS and the utility of different imaging technologies in making the diagnosis.
Original language | English (US) |
---|---|
Pages (from-to) | 322-325 |
Number of pages | 4 |
Journal | Hellenic Journal of Cardiology |
Volume | 54 |
Issue number | 4 |
State | Published - Jul 2013 |
Externally published | Yes |
Keywords
- Acute aortic syndrome
- Aortic dissection
- Chest pain
- Pericardial effusion
- Syncope
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine