Key result
A painless Stanford type-A aortic dissection can present atypically with heart failure due to dynamic compression of the left main coronary artery, mimicking myocardial infarction.
Case Report (n=1)
No
Atypical, painless presentation of acute aortic dissection can manifest as heart failure due to dynamic left main coronary artery obstruction, highlighting the need for high clinical suspicion.
Alerts clinicians to atypical aortic dissection in unexplained heart failure; single case leaves open broader diagnostic implications.
Acute aortic dissections are uncommon but highly mortal emergencies. Atypical presentations can be missed and delayed diagnoses may diminish favourable impact of medical, interventional and surgical procedures. Hereby we describe a painless aortic dissection case presented with heart failure due to functional obstruction of left main coronary artery resulting left ventricular dysfunction by presumptive myocardial stunning.
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Başarıcı et al. (2009) conducted a case report in Aortic dissection (n=1). Medical treatment (beta blocker and ACE inhibitor) was evaluated. A painless Stanford type-A aortic dissection can present atypically with heart failure due to dynamic compression of the left main coronary artery, mimicking myocardial infarction.
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