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68-year-old male, a known case of hypertension and dyslipidemia, presents with a history of acute onset chest pain with radiation to the back. The chest pain was very severe at initiation. He was in agony due to pain. He was tachypneic, tachycardic, and hypertensive in the emergency room. A bedside ECG ruled out any overt myocardial ischemic event. A bedside chest X-ray revealed a mediastinal widening, with an abnormal aortic silhouette (double contour of aortic arch).

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Acute Aortic Dissection and Pericardial Tamponade

  • 章节

  • 发表日期：

    2025年

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  • Ajoy Krishna Sarkar,
  • Susruta Bandyopadhyay,
  • Aniruddha Sarkar,
  • Riddhika Majumder

摘要

68-year-old male, a known case of hypertension and dyslipidemia, presents with a history of acute onset chest pain with radiation to the back. The chest pain was very severe at initiation. He was in agony due to pain. He was tachypneic, tachycardic, and hypertensive in the emergency room. A bedside ECG ruled out any overt myocardial ischemic event. A bedside chest X-ray revealed a mediastinal widening, with an abnormal aortic silhouette (double contour of aortic arch).