DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20175748

Aortic dissection with left supraclavicular pulsatile swelling: a rare presentation

Utkarsh Khandelwal, Prashant Kashyap, Deepali Rajpal, Manhar Shah, Ajit Baviskar, Manu Mathew

Abstract


We are presenting a case of aortic dissection with rare presentation. Patient came with complaints of left sided supraclavicular pulsatile swelling and incidentally was recorded with high blood pressure. After series of investigations he was diagnosed as a case of aortic dissection.


Keywords


Aaortic dissection, Pulsatile swelling

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References


Criado FJ "Aortic dissection: a 250-year perspective". Tex Heart Inst J. 2011;38(6):694-700.

White A, Broder J, Mando-Vandrick, J, Wendell J, Crowe J "Acute aortic emergencies part 2: aortic dissections". Advanc Emerg Nurs J. 2013;35(1):28-52.

Nienaber CA, Clough, RE. "Management of acute aortic dissection". Lancet. 2015;385(9970):800-11.

Spittell PC, Spittell JA, Joyce JW. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc. 1993;68(7):642-51.

Roberts WC. Aortic dissection: anatomy, consequences, and causes. Am Heart J. 1981; 101(2):195-214.

Olsson Ch. Thelin S. Ståhle E. Ekbom A. Granath F. "Thoracic Aortic Aneurysm and Dissection. Increasing Prevalence and Improved Outcomes Reported in a Nationwide Population-Based Study of More Than 14 000 Cases From 1987 to 2002". Circulation. 2006;114:2611-8.

Hiratzka LF, Bakris GL, Beckman JA, et al. (April 2010). "2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM guidelines for the diagnosis and management of patients with Thoracic Aortic Disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American College of Radiology, American Stroke Association, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of Thoracic Surgeons, and Society for Vascular Medicine". Circulation. 121 (13): e266–369.

Ho M. and Liang D., “Diseases of the Aorta”, Chap. 11 in Ardehali A., Pérez M. and Wang P. (eds), A Practical Approach to Cardiovascular Medicine Archived 2016-08-18 at the Wayback Machine., John Wiley and Sons, 2013;352:978-1-4051-8039-9.

Woo KM, Schneider JI. "High-risk chief complaints I: chest pain--the big three". Emerg. Med. Clin. North Am. 2009;27(4):685-712.