Key result
A 60-year-old female patient presented with confusion and was diagnosed with a rare case of extensive Stanford Type A aortic dissection, highlighting the need for a low threshold of suspicion.
Why the study?
Spontaneous extensive aortic dissection is rarely documented and carries a high misdiagnosis rate, highlighting the need to recognize diverse and atypical clinical presentations.
Case Report (n=1)
Highlights the importance of maintaining a high index of suspicion for aortic dissection in patients presenting with atypical symptoms like confusion.
Maintain high suspicion for aortic dissection with acute confusion; extends known atypical presentations yet leaves practice implications open.
Spontaneous extensive aortic dissection is rarely documented in the literature with a misdiagnosis rate of up to 38% in previous studies. Vital signs and clinical manifestations vary and depend on the extent of the dissection and location. We present a rare case of extensive Stanford Type A dissection in a 60-year-old female patient who presented with confusion. Type A aortic dissection is a surgical emergency that is important for clinicians to have a low threshold of suspicion of the life-threatening condition due to the diverse and potentially atypical clinical presentation of aortic dissection.
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Kam et al. (2022) conducted a case report in Stanford Type A aortic dissection (n=1). A 60-year-old female patient presented with confusion and was diagnosed with a rare case of extensive Stanford Type A aortic dissection, highlighting the need for a low threshold of suspicion.
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