Key result
An emergency modified Bentall procedure was performed to replace the damaged aorta and aortic valve in a 75-year-old male with acute type A aortic dissection.
Case Report (n=1)
This case highlights the critical need for accurate imaging to differentiate acute type A aortic dissection with coronary obstruction from acute coronary syndrome to ensure timely surgical intervention.
Alerts clinicians to aortic dissection mimicking ACS with coronary occlusion; extends case reports but leaves open systematic diagnostic strategies.
Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.
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Kaya et al. (2014) conducted a case report in Acute type A aortic dissection with obstruction of the right coronary artery (n=1). Emergency modified Bentall procedure was evaluated. An emergency modified Bentall procedure was performed to replace the damaged aorta and aortic valve in a 75-year-old male with acute type A aortic dissection.
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