title: Painless limited dissection of the ascending aorta presenting with aortic valve regurgitation.
abstract: Aortic dissection is a medical emergency carrying high morbidity and mortality. Prompt diagnosis is sometimes difficult because of its varying presentations, but it is critical to the achievement of good clinical outcomes. This report describes 2 cases of painless aortic dissection that presented with aortic valve regurgitation. In both, the dissection was limited to the ascending aorta just distal to the aortic valve. These dissections were diagnosed by transthoracic and transesophageal echocardiography.
authors.affiliation: Department of Medicine, Long Island College Hospital, Brooklyn, NY, USA.
authors.forename: S I
authors.initials: SI
authors.lastname: Rahmatullah
authors.forename: I A
authors.initials: IA
authors.lastname: Khan
authors.forename: V M
authors.initials: VM
authors.lastname: Nair
authors.forename: N D
authors.initials: ND
authors.lastname: Caccavo
authors.forename: B C
authors.initials: BC
authors.lastname: Vasavada
authors.forename: T J
authors.initials: TJ
authors.lastname: Sacchi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D002637:Chest Pain / Q000209:etiology; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000592:standards; D004638:Emergency Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D012680:Sensitivity and Specificity