Key result
A 58-year-old man with painless Stanford A aortic dissection was successfully treated with emergency surgery, resulting in an uncomplicated postoperative course.
Case Report (n=1)
This case highlights that Stanford type A aortic dissection can present asymptomatically or with transient pain, emphasizing the importance of clinical signs like blood pressure asymmetry and elevated D-dimers for diagnosis.
Clinicians should consider painless type A dissection with asymmetric BP or elevated D-dimers; single case extends spectrum but leaves practice unchanged.
We describe the case of a 58-year-old black male smoker patient with untreated hypertension admitted to the emergency room without symptoms, having presented a few hours earlier, moderate chest pain with transient sweating. The clinical examination found blood pressure asymmetry and a weaker radial pulse on the right arm. The ECG showed nonspecific abnormalities. D dimers were greater than 20,000 µg/L. Chest CT angiography showed Stanford type A aortic dissection. The patient underwent emergency surgery with aortic valve replacement.
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Gabin et al. (2023) conducted a case report in Stanford A Aortic Dissection (n=1). Emergency surgery (aortic valve replacement, supracoronary tube placement, aortic pellet repair) was evaluated on Postoperative course. A 58-year-old man with painless Stanford A aortic dissection was successfully treated with emergency surgery, resulting in an uncomplicated postoperative course.
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