Key result
Thoracic endovascular aortic graft repair was performed in a patient with thoracic aortic dissection presenting with bilateral haemothoraces, highlighting this uncommon complication.
Why the study?
Thoracic aortic dissection is a life-threatening diagnosis that should not be missed, and haemothorax represents an uncommon complication.
Case Report (n=1)
Thoracic aortic dissection can uncommonly present with bilateral haemothoraces, emphasizing the need for careful interpretation of chest radiographs in patients with chest pain.
Missed aortic dissection on chest radiograph delayed diagnosis; case report leaves open need for prospective vigilance protocols.
Thoracic aortic dissection is a life-threatening diagnosis, which should not be missed. We present a case in which a patient who presented to the emergency department with chest pain was assessed and referred for admission for treatment of pneumonia, due to misinterpretation of a chest radiograph finding. The patient was re-reviewed and subsequently underwent further investigation, which confirmed aortic dissection. She underwent emergency thoracic endovascular aortic graft repair with stent graft insertion. This case demonstrates haemothorax as an uncommon complication of aortic dissection.
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Foo et al. (2023) conducted a case report in Thoracic aortic dissection (n=1). Thoracic endovascular aortic graft repair with stent graft insertion was evaluated. Thoracic endovascular aortic graft repair was performed in a patient with thoracic aortic dissection presenting with bilateral haemothoraces, highlighting this uncommon complication.
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