Acute aortic dissection with right-sided chest and back pain accompanied by left-sided limb dyskinesia

• DOI: 10.18087/cardio.2022.6.n1818
• Publication Date: 2022-07-15T09:10:25Z
• Authors: Li-ping Xie; Zheng-ren Du; Chen Ying; Yan-jin Wei
• Keywords: Stroke; Back Pain

We retrospectively studied the diagnosis and treatment of a case AAD misdiagnosed as stroke since atypical symptoms first manifestation, discussed clinical features manifestations, diagnosis, differential in context relevant domestic international literature. The patient, 49‑year-old male with herpes zoster for more than 1 month, presented sudden onset right-sided chest back pain, accompanied by numbness weakness left limb, was tentatively diagnosed post-herpetic neuralgia combined due to history zoster. Non-specific ST-T alterations, D-dimer 20ug / ml, non-traumatic angiographic findings transthoracic abdominal aorta demonstrated slight thickening patient’s ascending aorta, lumen root sinus region showed intimal flap formation larger pseudocoel smaller true lumen, which ultimately confirmed acute aortic coarctation presentation. So clinicians need improve their basic theoretical knowledge, strengthen understanding AAD, focus on physical examination, auxiliary examinations expeditiously, pay attention significance specific order decrease misdiagnosis missed manifestations patients.