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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| Format: | Article |
| Language: | English |
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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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| author | Rama Ellauzi Swanson Benjamin Kim A. Eagle |
| author_facet | Rama Ellauzi Swanson Benjamin Kim A. Eagle |
| author_sort | Rama Ellauzi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ce81de4100774ab08bad095bed71c8ec |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-ce81de4100774ab08bad095bed71c8ec2025-08-20T02:03:08ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-06-014610.7326/aimcc.2024.0695Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic DissectionRama Ellauzi0Swanson Benjamin1Kim A. Eagle21Department of Cardiovascular Medicine, Henry Ford Hospital, Detroit, Michigan1Department of Cardiovascular Medicine, Henry Ford Hospital, Detroit, Michigan2Department of Cardiovascular Medicine, University of Michigan Health System, Ann Arbor, MichiganWe 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.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0695 |
| spellingShingle | Rama Ellauzi Swanson Benjamin Kim A. Eagle Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection Annals of Internal Medicine: Clinical Cases |
| title | Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection |
| title_full | Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection |
| title_fullStr | Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection |
| title_full_unstemmed | Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection |
| title_short | Precision in Crisis: A Case Study on the Diagnostic Pitfalls in Acute Aortic Dissection |
| title_sort | precision in crisis a case study on the diagnostic pitfalls in acute aortic dissection |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0695 |
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