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Case Series
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| Throat discomfort: A harbinger of a lethal diagnosis | ||||||
| Kevin Rajakariar1, Anoop Koshy1, Jithin Sajeev1, George Proimos1 | ||||||
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Department of Cardiology, Box Hill Hospital, Eastern Health, Victoria
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| How to cite this article |
| Rajakariar K, Koshy A, Sajeev J, Proimos G. Throat discomfort: A harbinger of a lethal diagnosis Int J Case Rep Images 2017;8(8):510–513. |
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ABSTRACT
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Atypical presentations of acute aortic dissection are associated with delayed diagnosis and increased mortality rates. We describe two cases of isolated throat discomfort as the only symptom of a Stanford type A aortic dissection. In the first case, a 77-year-old male presented with isolated throat discomfort. After delayed recognition of aortic dissection, computed tomography (CT) aortography confirmed type A aortic dissection extending into the great vessels. He suffered a cardiac arrest and died. In second case, a 57-year-old male who described chest pain and a coronary angiogram was unremarkable. Post-procedure, he complained of severe throat pain and due to early suspicion of aortic dissection, an urgent CT aortography confirmed the diagnosis. He subsequently underwent successful graft replacement. The contrasting case series illustrates the importance of considering throat discomfort as an early manifestation of aortic dissection. Keywords: Aortic dissection, Sore throat, Throat discomfort, Type A |
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Acknowledgements
We would like to thank the patients for allowing us to use these cases to help widen our knowledge. No financial assistance was provided for the study. |
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Author Contributions
Kevin Rajakariar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Anoop Koshy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Jithin Sajeev – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published George Proimos – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2017 Kevin Rajakariar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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