Vinod Namana^1,, Ram Balasubramanian¹, Pramod Theetha Kariyanna², Rajeswer Sarasam¹, Sruthi Namana¹, Vijay Shetty¹

Aim: An aortic dissection is an uncommon serious condition, which usually presents with chest pain or upper back pain. Symptoms of aortic dissection may mimic those of other diseases, often leading to delay in diagnosis. Methods: We report an unusual case of aortic dissection with hemopericardium and thrombosed left common iliac artery presenting as acute limb ischemia. Conclusion: Maintaining a high index of clinical suspicion for aortic pathology could possibly lead to identification and timely management of a greater number of patients who have atypical presentations. This would be especially true for patients who have catastrophic presentations with unexplained symptoms.

aortic dissection, type a dissection, type b dissection, hemopericardium, cardiogenic shock, limb ischemia, arterial thrombosis