Painless aortic dissection with recurrent transient ischemic attack accompanied: a rare case report
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Abstract: Aortic dissection is seldom considered in the initial evaluation of cerebrovascular disease, and cerebrovascular disease caused by painless aortic dissection is more likely to be missed. We report a rare case of painless type A aortic dissection with transient ischemic attack and significant sinus bradycardia as initial presenting manifestation. The importance of this case is that proximal aortic dissection needs to be considered as a cause of ischemic stroke. In patients with bradycardia and neurological impairment of unexplained origin, a comprehensive physical examination should be performed to detect aortic dissection early, especially before thrombolytic therapy or before further antiplatelet or anticoagulant therapy.
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Key words:
- painless aortic dissection /
- transient ischemic attack /
- case report
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