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Reminder of important clinical lesson
CASE REPORT
Atypical presentation of acute aortic dissection in a young competitive rower
  1. Tim Saunders1,
  2. Toru Suzuki2
  1. 1SGUL, London, UK
  2. 2Department of Cardiovascular Medicine, University of Leicester, Leicester, UK
  1. Correspondence to Tim Saunders, m1601752{at}sgul.ac.uk

Summary

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.

  • valvar diseases
  • emergency medicine
  • sudden death in sport

https://doi.org/10.1136/bcr-2018-225712

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    Footnotes

    • Contributors The initial draft was written by Tim S (he is both the patient and the corresponding author). This was then checked and revised by Toru S, as he has seen Tim in his clinic and has extensive experience with aortic dissection.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.