Key result
A 45-year-old man with sudden back pain was successfully treated with emergent total arch replacement for an acute type B aortic dissection subsequent to an asymptomatic chronic type A dissection.
Why the study?
Aortic dissection is typically accompanied by sudden chest pain, but cases can rarely be asymptomatic and present diagnostic challenges when an acute dissection overlaps with chronic dissection.
Case Report (n=1)
No
This case highlights that acute type B aortic dissection can occur subsequent to an asymptomatic chronic type A aortic dissection, requiring careful diagnosis and surgical management.
May warrant vigilance for sequential dissections in acute presentations; leaves open optimal surveillance and management strategies.
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Suzuki et al. (2020) conducted a case report in Acute type B aortic dissection subsequent to asymptomatic chronic type A aortic dissection (n=1). Emergent total arch replacement was evaluated on Clinical outcome. A 45-year-old man with sudden back pain was successfully treated with emergent total arch replacement for an acute type B aortic dissection subsequent to an asymptomatic chronic type A dissection.
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