PAINLESS ACUTE AORTIC DISSECTION: BE AWARE OF MISDIAGNOSIS AND RULING OUT A SERIOUS DANGER

The aortic dissection is a relatively rare but fatal event; it is often misdiagnose in front of a very variable clinical presentation and falsely reassuring. We report a case of a 45-year-old hypertensive smoking patient, admitted to the emergency department for fatigue sensation and discomfort ,physical examination revealed a rough systolic murmur and the transthoracic echocardiography showed a dissection flap from the ascending aorta to the thoracic aorta and a moderate acute IAo, emergency CT angiography showed a type A aortic dissection from supra aortic trunks to iliac arteries, the patient was transferred to cardiac surgery and was operated immediately with a satisfactory postoperative transthoracic echocardiography and CT angiography control. Through this case and a review of the literature we would like to shed light on this non-exceptional case that can be catastrophic if not diagnosed and managed promptly.