Key result
Emergency surgery successfully treats acute type A aortic dissection presenting with nitroglycerin-relieved chest pain.
Case Report (n=1)
Acute aortic dissection can mimic acute coronary syndrome and present with chest pain relieved by nitroglycerin, emphasizing the importance of maintaining a broad differential diagnosis.
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Broadens chest pain differential to include aortic dissection; hypothesis-generating case report leaves open need for prospective validation.
Acute aortic dissection is an uncommon disorder which can have fatal results in the event of treatment delay or misdiagnosis. This case examines a 77-year-old woman presenting with chest pain relieved by nitroglycerin. She was referred to the emergency room with clinical suspicion of acute coronary syndrome (ACS). However, she was later diagnosed with acute aortic dissection and an emergency operation was performed with successful recovery. Aortic dissection may manifest in various ways depending on the site involved and may mimic other disorders such as ACS or pulmonary embolism. Therefore, clinicians must always be aware of aortic dissection and its different clinical manifestations must be understood.
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Kim et al. (2013) conducted a case report in Acute aortic dissection (n=1). Sublingual nitroglycerin was evaluated on Symptom relief and diagnosis. A 77-year-old woman presenting with chest pain relieved by sublingual nitroglycerin was diagnosed with acute aortic dissection type A and successfully treated with emergency surgery.
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