14clinicalmanifestations?rippingortearingpainintheintrascapulararea?abruptonsetofthepain?acuteseverechestpainanteriorchestpaincanmimicacutemyocardialinfarction?painextendingtotheneckorjaw?alteredmentalstatus?cerebrovascularaccidentsymptoms?syncope15clinicalmanifestations?limbparesthesias?hornersyndrome?dyspnea?dysphagia?flankpainiftherenalarteriesareinvolved?hypertension?hypotensionifassociatedwithcardiactamponadehypovolemiaexcessivevagaltone16preferredexamination?contrastenhancedspiralct
14
Clinical Manifestations
• Limb paresthesias
• Horner syndrome
• Dyspnea
• Dysphagia
• Flank pain if the renal arteries are involved
• Hypertension
• Hypotension if associated with cardiac
1. The ability of TEE to evaluate the status of the aortic valve and the ostia of the coronary arteries is an advantage over CT and MRI. 2. CT and MR angiography has largely replaced conventional diagnostic angiography in the assessment of aortic dissection.
