Painless acute aortic dissection presenting with syncope and bradycardia

Abstract

Aortic dissection is an uncommon life-threatening condition that may cause death or significant morbidity. An on time diagnosis is difficult in cases with atypical presentation. A "classical" presentation encompasses sudden, severe chest, back, or abdominal pain that is characterized as ripping or tearing. This article reports a case of aortic dissection presented with syncope and bradycardia with no pain. Aortic dissection was diagnosed by a combination of clinical suspicion, emergent bedside echocardiography, and computed tomography scan. The patient underwent immediate surgery, and ultimately dischared with a favourable outcome.