Kim TE, Smith DD. "Thoracic aortic dissection in an 18 year-old female with no risk factors.." . (): -. (*)
Spontaneous aortic dissection is a rare, life-threatening cause of chest pain, and has a higher pre-test probability when traditional risks, such as age, hypertension, dyslipidemia, or connective tissue disorders are present. However, even in the absence of risk factors non-traumatic rupture of an aortic dissection may occur. Most are found in patients over 40 years of age. Younger victims of this disease invariably also suffer from other conditions such as cystic medial necrosis, connective tissue disorders such as Marfan?s syndrome, or vasculitis. We present the youngest reported incident of spontaneous, non-traumatic rupture of an aortic dissection in a patient without any risk factors, history, or discoverable cause on necropsy, and review other reported cases in the literature of aortic dissection in the people under 40.