Recurrent Aortic Dissection Causing Acute Stroke

Abstract

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.