Key result
Emergency hemiarch replacement successfully treated a 78-year-old woman who presented with paralytic ileus as an extremely rare first symptom of type A acute aortic dissection.
Case Report (n=1)
No
Paralytic ileus can be an extremely rare initial presentation of type A acute aortic dissection, highlighting the need to consider broad clinical spectrums in diagnosis.
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Paralytic ileus may signal type A dissection; single case extends symptom spectrum but leaves incidence and pathways open.
Fukunaga et al. (2017) conducted a case report in Type A acute aortic dissection (n=1). Emergency hemiarch replacement was evaluated on Resolution of paralytic ileus and survival. Emergency hemiarch replacement successfully treated a 78-year-old woman who presented with paralytic ileus as an extremely rare first symptom of type A acute aortic dissection.