Painless Aortic Syndrome in a Patient with Syncope and Globus Sensation: A Case Report
2024

Painless Aortic Syndrome Case Report

publication Evidence: low

Author Information

Author(s): Rosenfeld-Barnhard Gavriel MD, Jackson Jessica R. MD, Mendez Kendra A. MD, Schreyer Kraftin E. MD, MBA

Primary Institution: Temple University Hospital, Department of Emergency Medicine

Hypothesis

This is the first reported case of a patient who presented with a globus sensation and was diagnosed with an aortic dissection prior to clinical deterioration.

Conclusion

Aortic dissections can present with diverse and elusive symptoms, which can mimic other more common conditions, potentially leading to misdiagnosis and delayed intervention.

Supporting Evidence

  • This is the first reported case of an acute aortic syndrome presenting with painless globus sensation, diagnosed before clinical deterioration.
  • Atypical presentations like globus sensation in aortic dissection require high suspicion, as early diagnosis and management are crucial to improving outcomes.

Takeaway

Sometimes, people can have serious heart problems without the usual symptoms. This case shows that doctors need to pay attention to unusual signs.

Methodology

The case report describes a 60-year-old male patient who presented with near-syncope and globus sensation, leading to imaging that revealed a type A aortic dissection.

Potential Biases

No conflicts of interest were disclosed by the authors.

Limitations

The case is a single report and may not represent broader patient populations.

Participant Demographics

A 60-year-old male with a history of hyperlipidemia and well-controlled hypertension.

Digital Object Identifier (DOI)

10.5811/cpcem.20348

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