Acute ascending aortic dissection can present with varying cardiac manifestations, mimicking other conditions like acute coronary syndrome, and requires high clinical suspicion to prevent missed or delayed diagnosis.
Alerts clinicians to aortic dissection mimicking occlusive diseases; leaves open optimal diagnostic strategies pending higher-level evidence.
Acute ascending aortic dissection (AD) is a rare disease and carries a high fatality rate. Its mortality increased with time, 1-2% every hour after symptom onset. Occasionally, the diagnosis of acute AD could be missed or delayed since its presentation can mimic any arterial occlusive diseases including acute coronary syndrome, limb ischemia and stroke. To raise awareness of the medical community, we report on two acute ascending AD patients who presented with different cardiac manifestations.
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Gumpanart Veerakul (2014) studied this question.
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