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

Masaki Tago; Naoko E. Furukawa; Rika Yamaguchi; Yoshinori Tokushima; Hidetoshi Aihara; Shu-ichi Yamashita

doi:10.2169/internalmedicine.56.8362

CASE REPORTS

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

Masaki Tago, Naoko E. Furukawa, Rika Yamaguchi, Yoshinori Tokushima, Hidetoshi Aihara, Shu-ichi Yamashita

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Keywords: acute aortic dissection, mandibular pain, vagus nerve, intact coronary arteries

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 13 Pages 1663-1665

DOI https://doi.org/10.2169/internalmedicine.56.8362

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Abstract

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.

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