Key result
A 28-year-old male presenting atypically with painless dizziness was successfully diagnosed with acute type A aortic dissection and treated with an urgent Bentall procedure.
Why the study?
Painless acute aortic dissections can cause diagnostic delays with catastrophic results, presenting a challenging identification task when manifestations are atypical.
Case Report (n=1)
No
Acute aortic dissection can present atypically without pain, such as with dizziness, particularly in young patients with Marfan syndrome.
Answers are grounded in this paper and cite their sources.
Atypical painless dizziness warrants considering type A dissection in young adults; extends spectrum awareness but leaves open prospective validation.
Background: Acute aortic dissections are highly fatal and are usually a postmortem diagnosis. Painless acute aortic dissections can lead to delay in diagnosis and catastrophic results for the patient. Type A dissections extending into the vessels of the brain and neck can cause cerebral hypo-perfusion leading to neurological symptoms. Marfan syndrome and other connective tissue disorders are more susceptible to be diagnosed with acute aortic dissections. Case Report: We present a rare case of acute dissection presenting with dizziness and underwent surgical intervention. Conclusion: Identification of acute aortic dissection with atypical presentation is a challenging task for emergency physicians.
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Kadamba et al. (2019) conducted a case report in Acute aortic dissection (n=1). Bentall procedure was evaluated on Patient outcome. A 28-year-old male presenting atypically with painless dizziness was successfully diagnosed with acute type A aortic dissection and treated with an urgent Bentall procedure.
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