Key result
The combined use of clinical suspicion and imaging techniques such as bedside ultrasound and CT scan successfully diagnosed a challenging case of painless acute aortic dissection in a 67-year-old man.
Case Report (n=1)
Highlights the importance of clinical suspicion and multimodality imaging in diagnosing atypical, painless acute aortic dissection presenting as syncope.
Supports clinical suspicion for painless aortic dissection in syncope; hypothesis-generating and leaves open prospective validation of multimodality imaging.
We described the case of a 67-year-old man presenting to the ED with syncope and initial normal vital signs and resulting in a challenging diagnosis of a painless aortic dissection (AD). The discussion was focused on the significant incidence of atypical presentation of AD, the related high risk of a misdiagnosis and the role of instrumental tools such as bedside ultrasound and CT scan. In conclusion, we considered that the combined use of clinical suspect, based on clinical signs and laboratory tests, and of imaging techniques could help to reach a certain diagnosis even in the painless AD presentation.
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Benedusi et al. (2021) conducted a case report in Painless acute aortic dissection (n=1). Bedside ultrasound and CT scan was evaluated on Diagnosis of painless aortic dissection. The combined use of clinical suspicion and imaging techniques such as bedside ultrasound and CT scan successfully diagnosed a challenging case of painless acute aortic dissection in a 67-year-old man.
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