title: Painless acute aortic dissection presenting as echocardiographically diagnosed left ventricular outflow tract obstruction.
abstract: We present an unusual case of painless acute aortic dissection with an atypical echocardiographic presentation that could be confused with an aortic stenosis. Transesophageal echocardiography excluded the presence of aortic stenosis and disclosed a systolic anterior movement of the mitral valve as the cause of left ventricular outflow tract obstruction. It also revealed a type A aortic dissection.
authors.affiliation: Division of Cardiology, S. Maria di Loreto Hospital. lascio@tin.it
authors.forename: Luigi
authors.initials: L
authors.lastname: Ascione
authors.forename: Maria
authors.initials: M
authors.lastname: Accadia
authors.forename: Lucia
authors.initials: L
authors.lastname: Damiano
authors.forename: Salvatore
authors.initials: S
authors.lastname: Rumolo
authors.forename: Mario
authors.initials: M
authors.lastname: De Michele
authors.forename: Bernardino
authors.initials: B
authors.lastname: Tuccillo
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging; D014694:Ventricular Outflow Obstruction / Q000150:complications / Q000000981:diagnostic imaging*