Left Mandibular Pain: A Rare Initial Symptom of Acute Aortic Dissection Without Coronary Obstruction

An 88-year-old woman experienced sharp pain in the left mandible for a few minutes 3 days prior to hospital presentation. On the day of hospital presentation, the patient experienced similar pain and cold sweating for more than an hour early in the morning. On arrival, there was only mild discomfort...

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Bibliographic Details
Published in:Internal Medicine 2017/07/01, Vol.56(13), pp.1663-1665
Main Authors: Tago, Masaki, Furukawa, Naoko E., Yamaguchi, Rika, Tokushima, Yoshinori, Aihara, Hidetoshi, Yamashita, Shu-ichi
Format: Article
Language:English
Subjects:
acute aortic dissection
Aged, 80 and over
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - diagnosis
Aneurysms
Aorta
Aortic Aneurysm - complications
Aortic Aneurysm - diagnosis
Aortic dissection
Case Report
Computed tomography
Coronary artery
Coronary Vessels - physiopathology
Female
Humans
Implantation
intact coronary arteries
Internal medicine
Mandible
Mandible - physiopathology
mandibular pain
Neck
Pain
Pain - complications
Pain perception
Sweating
Tomography, X-Ray Computed
vagus nerve
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Summary:An 88-year-old woman experienced sharp pain in the left mandible for a few minutes 3 days prior to hospital presentation. On the day of hospital presentation, the patient experienced similar pain and cold sweating for more than an hour early in the morning. On arrival, there was only mild discomfort ranging from the left mandible to the neck, without definite pain. Computed tomography revealed Stanford type A acute aortic dissection. Blood vessel prosthesis implantation was performed. Intraoperatively, the coronary arteries were confirmed to be intact. Mandibular pain is a rare but potential symptom of aortic dissection without coronary artery obstruction.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.56.8362