Subacute aortic dissection presenting as heart failure due to aortic valve insufficiency and right coronary artery dissection.
A patient with subacute thoracic aortic aneurysm dissection presented with progressive dyspnoea due to severe aortic regurgitation, leading to congestive heart failure and reduced left ventricular ejection fraction.
Clinical pearl
Clinicians should consider aortic dissection in patients presenting with heart failure of unclear origin, especially if there are signs of significant aortic regurgitation.