Key result
Two patients with painless aortic dissection were misdiagnosed during their initial evaluation in the emergency department due to atypical presentation.
Case Report (n=2)
Highlights the clinical challenge of diagnosing atypical, painless aortic dissection in the emergency setting to prevent misdiagnosis.
Atypical ED presentations warrant diagnostic caution for aortic dissection; these cases leave open optimal screening strategies for prospective validation.
Acute dissection of the aorta can be one of the most dramatic cardiovascular emergencies. Classically, aortic dissection presents as sudden, severe chest, back, or abdominal pain that is characterised as ripping or tearing in nature. However, a timely diagnosis can be elusive in the event of an atypical presentation. In this report, the authors present two patients with painless aortic dissection who were misdiagnosed during their initial evaluation in the emergency department.
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Cüneyt Ayrık (2006) conducted a case report in Painless aortic dissection (n=2). Painless presentation was evaluated on Misdiagnosis in the emergency department. Two patients with painless aortic dissection were misdiagnosed during their initial evaluation in the emergency department due to atypical presentation.
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