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Painless aortic dissection (AD) has a reported prevalence of 6.4% and occur more commonly in older patients.1 They carry a worse prognosis compared with patients with painful AD. In patients with type A AD (TAAD), cardiac tamponade is the leading cause of death.
We describe an octogenarian with painless TAAD and cardiac tamponade. The pathophysiology contributing to the findings on CT and histology will be discussed.
An 80-year-old woman complained of abdominal colic, which worsened 2 days before admission. She had no chest pain and was haemodynamically stable during admission.
Initial investigations including an abdominal …