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February 13, 2020CureusOpen Access

Two Intriguing Cases of Stanford Type A Acute Aortic Dissection

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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.

Design

Case report

Authors

TATaha AhmedRNRaunak NairHLHassan Mehmood Lak

Discussion

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Overview

Maintain high suspicion for type A AAD despite atypical features; these cases leave open need for prospective diagnostic studies.

Study Design

Type

Case Report (n=2)

Structured PICO

P
Population
Two older adults (ages 61 and 66) presenting with chest pain and initially misdiagnosed with acute coronary syndrome, subsequently diagnosed with Stanford type A acute aortic dissection.

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.

Limitations

  • Small sample size as a case report of only two patients.

Cite This Study

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.

synapsesocial.com/papers/6a76fa28df493903fd1e9256https://doi.org/10.7759/cureus.6986
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute Stanford type B aortic dissection in a male: A case report2025
  2. 2Acute Stanford Type A Aortic Dissection: A Review of Risk Factors and Outcomes2023 · 14 citations
  3. 3Type A Aortic Dissection: A Call for Vigilance in Chest Pain Diagnosis2024
  4. 4An atypical case of Stanford type‐A chronic aortic dissection managed conservatively2019
  5. 5Stanford Type a Aortic Dissection Presenting with Dyspnea: A Case Report2021 · 2 citations