Citation

Rao M, Panduranga P, Al-Mukhaini M, Al-Jufaili M, Valiath J. Oman Med. J. 2011; 26(6): 438-440.

Copyright

(Copyright © 2011, Oman Medical Specialty Board)

DOI

10.5001/omj.2011.111

PMID

22253955

PMCID

PMC3251197

Abstract

Ischemic stroke secondary to aortic dissection is not uncommon. We present a patient with left hemiplegia secondary to Stanford type A aortic dissection extending to the supra-aortic vessels, which was precipitated by rifle butt recoil chest injury. The diagnosis of aortic dissection was delayed due to various factors. Finally, the patient underwent successful Bentall procedure with complete resolution of symptoms. This case emphasizes the need for caution in the use of firearms for recreation and to take precautions in preventing such incidents. In addition, this case illustrates the need for prompt cardiovascular physical examination in patients presenting with stroke.

Language: en