Case report of an 84-year-old man with chronic aortic dissection presenting with weakness and lethargy.
May prompt consideration of chronic aortic dissection in elderly patients with weakness; leaves open need for larger studies before diagnostic change.
Presentation of CaseAn 84-year-old man was admitted to the hospital because of chronic aortic dissection, weakness, and lethargy.He was in a stable state of health until two months earlier, when substernal pain developed while he was walking, with radiation to the jaw and left shoulder, accompanied by sweating and dyspnea for several hours. He was admitted to another hospital, where an electrocardiogram was reported to show new small Q waves in the precordial leads that were considered insignificant; serial enzyme tests yielded no evidence of myocardial necrosis. A cardiac ultrasonographic examination revealed normal function of both ventricles, with . . .
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Cabot et al. (1990) studied this question.
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