Painless aortic dissection presenting with isolated dysphagia

A 71-year old male presented to our hospital with acute, isolated dysphagia for 3 days. His past medical history included hypertension, hyperlipidemia, atrial fibrillation, and severe aortic regurgitation with aortic root dilatation for which he underwent surgical repair 5 years ago. Additionally, he was diagnosed with myasthenia gravis (MG) 9 months prior. He was mildly hypertensive to 147/97 mmHg and apart from mild fatigable ptosis of bilateral eyes, rest of the clinical examination was unremarkable.