Key result
Two patients presenting with atypical chest pain were initially misdiagnosed with acute coronary syndrome but were subsequently found to have Stanford type A acute aortic dissection.
Why the study?
Stanford type A acute aortic dissection is a life-threatening surgical emergency requiring prompt evaluation, but can have atypical presentations leading to initial misdiagnosis.
Case Report (n=2)
Stanford type A acute aortic dissection can present atypically, mimicking acute coronary syndrome, requiring a high index of suspicion and prompt imaging to prevent catastrophic outcomes from inappropriate antithrombotic therapy.
Answers are grounded in this paper and cite their sources.
Maintain high suspicion for type A AAD despite atypical features; these cases leave open need for prospective diagnostic studies.
Stanford type A acute aortic dissection (AAD) is a life-threatening illness that presents with chest pain and hemodynamic instability. Prompt and accurate evaluation and management are critical for survival as it is a cardiac surgical emergency. We aim to highlight the physicians about this potentially fatal condition, by reporting two cases of Stanford type A AAD, with atypical presentations that were initially misdiagnosed.
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Ahmed et al. (2020) conducted a case report in Stanford type A acute aortic dissection (n=2). Stanford type A acute aortic dissection was evaluated on Clinical presentation and diagnosis. Two patients presenting with atypical chest pain were initially misdiagnosed with acute coronary syndrome but were subsequently found to have Stanford type A acute aortic dissection.
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