Summary A 12‐year‐old Thoroughbred gelding presented with a history of exercise intolerance and inspiratory stridor. Physical examination revealed a blunt crush injury to the ventral neck and underlying trachea of unknown duration. Tracheoscopy revealed a grade 3 tracheal collapse. Surgical management of the case involved placement of extraluminal titanium mesh screens circumferentially around the trachea for complete support. During the period of hospitalisation, the only post operative complication was seroma formation, which resolved with routine care. Follow‐up after 5 years revealed no further evidence of exercise intolerance, inspiratory dyspnoea or stridor. The horse returned to his previous level of work as a show hunter.

The clinical presentation of acute aortic dissection is well known, and includes tearing retrosternal chest pain, hypertension and pulse asymmetry. However, 10-15% of dissections have no chest pain, and recurrent aortic dissections are often painless. Here we present a case of a painless, recurrent aortic dissection presenting as sudden onset left hemiparesis due to multiple right sided infarcts.

No abstract

No abstract

No abstract