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CASE REPORT
Year : 2020  |  Volume : 21  |  Issue : 4  |  Page : 305-308

Unusual case of spontaneous postcoital type a aortic dissection


1 Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, New Jersey, USA
2 Department of Medical Education; Department of Hematology and Oncology, Saint Michael's Medical Center, New York Medical College, Newark, New Jersey, USA
3 Department of Medical Education; Department of Cardiology, Saint Michael's Medical Center, New York Medical College, Newark, New Jersey, USA

Correspondence Address:
Dr. Hamid Shaaban
Department of Medical Education, Saint Michael's Medical Center, New York Medical College, Newark, New Jersey; Department of Hematology and Oncology, Saint Michael's Medical Center, New York Medical College, Newark, New Jersey
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_165_20

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Aortic dissection is a life-threatening condition that may present as severe acute chest or abdominal pain, especially in high-risk patients, and should raise a high index of suspicion for aortic dissection when occurring after moderate-to-high-intensity activities, such as sexual intercourse. Sexual intercourse leads to physiological stress on the body causing an abrupt elevation in blood pressure and shearing force against the vessel wall. This shearing force increases the risk of vessel wall dissection. Below, we discuss a rare case of type A aortic dissection after sexual intercourse and highly recommend physicians to evaluate and educate their high-risk patients regarding aortic dissection with such activities.


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