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An extensive chronic aortic dissection presenting with acute embolic stroke

2017; Taylor & Francis; Volume: 7; Issue: 5 Linguagem: Inglês

10.1080/20009666.2017.1379854

2000-9666

Sijan Basnet, Naba Raj Mainali, Biswaraj Tharu, Rashmi Dhital, Dilli Ram Poudel,

Cardiac Valve Diseases and Treatments

Herein, we present a rare case of extensive chronic aortic dissection with extension to bilateral subclavian arteries, bilateral common carotid arteries, right internal carotid artery, bilateral proximal external iliac arteries and simultaneous presentation of acute embolic stroke and seizure. The rarity of this case presentation and the presence of neurological features necessitated a high index of clinical suspicion to reach the definitive diagnosis. This study also demonstrates a unique situation requiring correlation between chronic aortic dissection and multi-organ system dysfunction from chronic ischemia.