Key result
Computed tomography angiography incidentally detected an asymptomatic Stanford type A aortic dissection in a patient who experienced cardiac catheterization failure.
Case Report (n=1)
No
Asymptomatic aortic dissection should be considered in patients with risk factors who experience unexplained cardiac catheterization failure, warranting prompt evaluation with CTA or TTE.
May prompt CTA after unexplained cath failure; hypothesis-generating for asymptomatic type A dissection screening.
Aortic dissection (AD) is an injury to the innermost layer of the aorta, leading to the formation of a false lumen. AD usually presents with tearing chest pain radiating to the back and is a medical emergency. Other common symptoms include abdominal pain, diaphoresis, loss of consciousness, shortness of breath, stroke-like symptoms, or leg pain. Here, we present a rare case of an incidental finding of asymptomatic AD on computed tomography angiography performed after cardiac catheterization failure. The patient had a history of aortic aneurysm, hypertension, and heart failure. Appropriate imaging should be performed to rule out the possibility of AD in patients with risk factors and cardiac catheterization failure.
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Ahmad et al. (2022) conducted a case report in Asymptomatic Aortic Dissection (n=1). Computed tomography angiography was evaluated on Detection of aortic dissection. Computed tomography angiography incidentally detected an asymptomatic Stanford type A aortic dissection in a patient who experienced cardiac catheterization failure.
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