Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection
We report the case of a young man with a history of abdominal aortic aneurysm repair who presented with acute chest pain. An initial work-up included a computed tomography (CT) pulmonary angiogram, which ruled out pulmonary embolism but did not reveal an aortic dissection. Subsequent transthoracic e...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2025-06-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0695 |
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| Summary: | We report the case of a young man with a history of abdominal aortic aneurysm repair who presented with acute chest pain. An initial work-up included a computed tomography (CT) pulmonary angiogram, which ruled out pulmonary embolism but did not reveal an aortic dissection. Subsequent transthoracic echocardiography and gated CT angiography confirmed an acute Stanford type A aortic dissection. This case highlights the importance of considering aortic dissection in differential diagnoses and the limitations of CT pulmonary angiography in detecting aortic abnormalities. |
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| ISSN: | 2767-7664 |