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Aortic dissection in sub Saharan Africa: Diffilty of management in country without cardiac surgery. Clinical case in Congo-Brazzaville Kouala Landa, C. M.; Ellenga Mbolla, B. F.; Mongo-Ngamami, S. F.; Makani Bassakouahou, J.; Bakekolo, R. P.; Ikama, M. S. & Kimbally-Kaky, S. G. Abstract Aortic dissection (AD) is a medical and surgical emergency whose treatment is difficult in most sub Saharan African countries without cardiac surgery. The causes of AD are numerous and the prognosis is poor without surgery in type A aortic Dissection in Stanford classification. The type B has a better prognosis than type A. The authors report the case of a young man without medical history, admitted for chest pain. The diagnosis of type B aortic dissection and aneurysm expansion was retained by thoracic X-ray, and CT scan. Keywords aortic dissection; Sub-Saharan Africa; Brazzaville; Congo

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