A Case of Chest Pain
A1. Ultrasound shows dissection flap and a small pericardial effusion.
A2. CT scan shows a Type A aortic dissection. Also noted is multiple cysts in the liver and kidney
A3. Polycystic Kidney disease a common autosomal dominant disease causing hypertension and renal failure. The untreated hypertension that this man suffered contributed to aortic dissection.
Aortic dissection is a rare but potentially life threatening complication of polycystic kidney disease. Clinicians should consider association when managing with patients with polycystic kidney disease who present with chest pain, SOB or collapse
DR. Sanjay Patel
Khoo Teck Puat Hospital Acute & Emergency Care Centre