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Wiet SP, Pearce WH, McCarthy WJ, Joob AW, Yao JS, McPherson DD. Utility of transesophageal echocardiography in the diagnosis of disease of the thoracic aorta. J Vasc Surg 1994; 20(4): 613-20.

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Article

Aortic Dissection Presenting with New Onset Slow Atrial Fibrillation

1Department of Internal Medicine, Faculty of Medical Sciences, University of Duhok, Kurdistan, Iraq

2Fellow in Internal Medicine, Duhok directorate of Health, Kurdistan, Iraq


American Journal of Cardiovascular Disease Research. 2016, Vol. 4 No. 1, 11-14
DOI: 10.12691/ajcdr-4-1-3
Copyright © 2016 Science and Education Publishing

Cite this paper:
Ameen Mosa Mohammad, Shivan Umir Mohammed. Aortic Dissection Presenting with New Onset Slow Atrial Fibrillation. American Journal of Cardiovascular Disease Research. 2016; 4(1):11-14. doi: 10.12691/ajcdr-4-1-3.

Correspondence to: Ameen  Mosa Mohammad, Department of Internal Medicine, Faculty of Medical Sciences, University of Duhok, Kurdistan, Iraq. Email: doctoramb@yahoo.com

Abstract

Here we present a case of 45 year old male who presented to the emergency department in Duhok, Kurdistan, Iraq in 2014 suffering of two hours sudden onset of dizziness and repeated vomiting. He had unremarkable past medical and drug histories apart of current smoking. On examination the patient was conscious, Pulse rate is 50 bpm and irregular, BP is 90/60 mmHg, evidence of audible murmur on heart auscultation, ECG showed slow atrial fibrillation, Cardiac enzymes were negative. Transthoracic echo (TTE) showed severe aortic regurgitation with a dissecting intimal flap in the ascending aorta. Chest CT-scan was ordered to confirm the dissection and then the patient underwent successful aortic dissection repair. A link between slow atrial fibrillation and aortic dissection has not previously recognized.

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