Key result
Emergent surgery successfully treats acute type A aortic dissection presenting atypically in a 34-year-old hypertensive male.
Why the study?
Aortic dissection presents with diverse symptoms that can mimic other conditions, complicating timely diagnosis and management.
Case Report (n=1)
Type A aortic dissection can present atypically with abdominal pain and dyspnea, mimicking conditions like flash pulmonary edema, necessitating high clinical suspicion for timely diagnosis.
May raise suspicion for aortic dissection in young hypertensives using marijuana; hypothesis-generating and requires prospective confirmation.
Aortic dissection is an uncommon but life-threatening condition with a wide range of clinical presentations that can mimic other pathologies, often complicating timely diagnosis. Management strategies vary depending on the dissection type and clinical context. We report the case of a 34-year-old male with a history of uncontrolled hypertension with medication non-adherence who presented with dyspnea and abdominal pain after smoking marijuana. He was initially treated for flash pulmonary edema in the setting of a hypertensive emergency. However, due to persistence and worsening symptoms despite initial management, a CT of the chest was performed, revealing type A aortic dissection. The patient subsequently underwent emergent vascular surgery.
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Lopez et al. (2025) conducted a case report in Aortic dissection (n=1). Surgical repair (hemiarch replacement and aortic valve resuspension) was evaluated. A 34-year-old male with uncontrolled hypertension presented with atypical symptoms of abdominal pain and dyspnea and was successfully diagnosed and treated for an acute Stanford type A aortic dissection.
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