Acute aortic dissection: unusual presentations

Mortality rate in aortic dissection increases to 50% in the first 48 hours due to delayed diagnosis and treatment. These patients generally admit to emergency department with acute onset sharp pain on sternum or interscapular region. They also can admit with syncope, cerebrovascular disease, myocardial infarction, hemiparesis-hemiplegy, disphagy and flank pain. Hypertension, connective tissue diseases, congenital aortic stenosis or bicuspid aortic valve and positive family history generally present in the etiologies of aortic dissections. Laboratory results without radiological data are inreliable and controversial in diagnosing of aortic dissections among the patients with atypical symptoms. In this study; we aimed to review and discuss literature information about the aortic dissections with three cases that admitted to Cumhuriyet University Medicine Faculty Emergency Department with atypical complaints.