Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report
Introduction: Aortic dissection is a devastating clinical entity with a variety of presentations and requires prompt recognition and management. To our knowledge this is the first reported case of a patient who presented with a globus sensation and was diagnosed with an aortic dissection prior to cl...
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| Format: | Article |
| Language: | English |
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eScholarship Publishing, University of California
2024-11-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/72x9c34r |
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| author | Gavriel Rosenfeld-Barnhard Jessica R. Jackson Kendra A. Mendez Kraftin E. Schreyer |
| author_facet | Gavriel Rosenfeld-Barnhard Jessica R. Jackson Kendra A. Mendez Kraftin E. Schreyer |
| author_sort | Gavriel Rosenfeld-Barnhard |
| collection | DOAJ |
| description | Introduction: Aortic dissection is a devastating clinical entity with a variety of presentations and requires prompt recognition and management. To our knowledge this is the first reported case of a patient who presented with a globus sensation and was diagnosed with an aortic dissection prior to clinical deterioration. Case Report: The patient presented with an episode of near-syncope and globus sensation. Imaging studies revealed a type A aortic dissection with hemopericardium requiring emergent operative intervention. Unfortunately, the patient’s course was complicated by significant hemorrhage and periods of hypotension, and the family ultimately decided to pursue comfort care. Conclusion: Aortic dissections can present with diverse and elusive symptoms, which can mimic other more common conditions, potentially leading to misdiagnosis and delayed intervention |
| format | Article |
| id | doaj-art-c750e80e7e89494ba88a03ba397fc15c |
| institution | Kabale University |
| issn | 2474-252X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj-art-c750e80e7e89494ba88a03ba397fc15c2024-12-27T19:12:08ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2024-11-018436136410.5811/cpcem.20348cpcem-8-361Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case ReportGavriel Rosenfeld-Barnhard0Jessica R. Jackson1Kendra A. Mendez2Kraftin E. Schreyer3Temple University Hospital, Department of Emergency Medicine, Philadelphia, PennsylvaniaTemple University Hospital, Department of Emergency Medicine, Philadelphia, PennsylvaniaTemple University Hospital, Department of Emergency Medicine, Philadelphia, PennsylvaniaTemple University Hospital, Department of Emergency Medicine, Philadelphia, PennsylvaniaIntroduction: Aortic dissection is a devastating clinical entity with a variety of presentations and requires prompt recognition and management. To our knowledge this is the first reported case of a patient who presented with a globus sensation and was diagnosed with an aortic dissection prior to clinical deterioration. Case Report: The patient presented with an episode of near-syncope and globus sensation. Imaging studies revealed a type A aortic dissection with hemopericardium requiring emergent operative intervention. Unfortunately, the patient’s course was complicated by significant hemorrhage and periods of hypotension, and the family ultimately decided to pursue comfort care. Conclusion: Aortic dissections can present with diverse and elusive symptoms, which can mimic other more common conditions, potentially leading to misdiagnosis and delayed interventionhttps://escholarship.org/uc/item/72x9c34r |
| spellingShingle | Gavriel Rosenfeld-Barnhard Jessica R. Jackson Kendra A. Mendez Kraftin E. Schreyer Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report Clinical Practice and Cases in Emergency Medicine |
| title | Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report |
| title_full | Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report |
| title_fullStr | Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report |
| title_full_unstemmed | Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report |
| title_short | Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report |
| title_sort | painless aortic syndrome in a patient with syncope and globus sensation a case report |
| url | https://escholarship.org/uc/item/72x9c34r |
| work_keys_str_mv | AT gavrielrosenfeldbarnhard painlessaorticsyndromeinapatientwithsyncopeandglobussensationacasereport AT jessicarjackson painlessaorticsyndromeinapatientwithsyncopeandglobussensationacasereport AT kendraamendez painlessaorticsyndromeinapatientwithsyncopeandglobussensationacasereport AT kraftineschreyer painlessaorticsyndromeinapatientwithsyncopeandglobussensationacasereport |