Diseksi Aorta Ascendens Tipe Stanford A dengan Hemiparese Kiri

Abstract

Aortic dissection typically presents with chest pain and sometimes can lead into various complication, such as neurological manifestation. The symptoms occur because of cerebrovascular occlusion or general hypotension. The purpose of this case report is to report Stanford type A ascending aortic dissection with left-sided hemiparesis case.We report a case of 72 years-old female admitted to emergency department with left-sided weakness. Patient complained about a chest pain and headache since 3 days before entering into hospital. When resting at home, she felt sudden weakness in her left-sided limb. Chest x-ray showed widening mediastinum with calcifcation suspected as mediastinum mass. Head CT showedcalcifcation in the bilateral of basal ganglia and infarction of right external capsule. Chest CT showed Stanford type A ascending aortic dissection with intraluminal thrombus in inferoposterior of ascending aorta. The fnal diagnosis was Stanford type A ascending aortic dissection accompanied with intracranial hemorrhage and cerebral infarction as neurological manifestations