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BMJ Case Rep. 2018 Sep 4;2018. pii: bcr-2018-225712. doi: 10.1136/bcr-2018-225712.

Atypical presentation of acute aortic dissection in a young competitive rower.

Author information

1
SGUL, London, UK.
2
Department of Cardiovascular Medicine, University of Leicester, Leicester, UK.

Abstract

A 27-year-old man (who is also the lead author) presented with dull pain deep to the suprasternal notch, following a period of intense exercise (rowing). He was initially sent home with no diagnosis, but 24 hours later returned to a different Accident & Emergency (A&E), due to continued discomfort and an increasingly altered mental state, and was diagnosed with an extensive type A aortic dissection extending from the aortic root to the iliac bifurcation of the aorta, with an ~8 cm aneurysm on the ascending aorta and a diseased aortic valve. Following emergency surgery to replace the aortic valve and the aorta from the aortic root to the middle of the aortic arch (hemiarch), the patient recovered well.

KEYWORDS:

emergency medicine; sudden death in sport; valvar diseases

PMID:
30181401
DOI:
10.1136/bcr-2018-225712
[Indexed for MEDLINE]

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