Aortic dissection (AD) is a relatively uncommon, rare disorder and potentially misdiagnosed disease. Early diagnosis and treatment is required for the patient's survival. Aortic dissection can be fatal if misdiagnosed.
A 50-year-old adult male presented to emergency with acute chest pain and having a medical history of aortic stenosis post-aortic valve replacement 9 months back and a family history of ischaemic heart disease. Pain was relieved by analgesics. After further investigations by echocardiography and CT Angiography, it was diagnosed as AD Standford type A and DeBakey type 1, in view of the critical nature of illness, patient attenders wanted only medical management. The patient was declared dead after 2 days of diagnosis.
Hagan PG, Nienaber CA, Isselbacher EM, et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA 2000;283(7):897–903. DOI: 10.1001/jama.283.7.897.
Bickerstaff LK, Pairolero PC, Hollier LH, et al. Thoracic aortic aneurysms: a population-based study. Surgery 1982;92:1103–1108. PMID: 7147188.
Fattori R, Lovato L. Chapter 24: The Thoracic Aorta: Diagnostic Aspects – Diagnostic Radiology, Vol I. 6th ed. China, 2015; pp. 553–590.
McMahon MA, Squirell CA. Multidetector CT of AD: a pictorial review. RadioGraphics 2010;30:445–460. DOI: 10.1148/rg.302095104.
Hawatmeh A, Arqoub AA, Isbitan A, et al. A case of ascending AD mimicking acute myocardial infarction and complicated with pericardial tamponade. Cardiovasc Diagn Ther 2016;6(2):166–171. DOI: 10.21037/cdt.2015.11.06.
Zheng Z, Ye Z, Huang Y, et al. A case report of acute myocardial infarction concomitant with Standford type B aortic dissection. J Car Dis Res. 2013:4(4):251–253. DOI: 10.1016/j.jcdr.2013.12.002.
Cai J, Cao Y, Yuan H, et al. Inferior myocardial infarction secondary to aortic dissection associated with bicuspid aortic valve. Cardiol Res 2012;3(2):94–96. DOI: 10.4103/0975-3583.95370.
Wang JY, Chen H, Song D, et al. Acute myocardial infarction secondary to aortic dissection. J Vasc Med Surg 2016;4(2):255. DOI:10.4172/2329-6925.1000255.
Danbauchi SS, Ibinaiye PO, Anhiam CA, et al. DeBakey type 1 acute aortic dissection presenting as inferior myocardial infarction: a case report and review of literature. Int Sur 2013;3(2):12–19. DOI: 10.4103/2278-9596.122945.
Sullivan PR, Wolfson AB, Leckey RD, et al. Diagnosis of acute thoracic aortic dissection in the emergency department. Am J Emerg Med 2000;18:46–50. DOI: 10.1016/s0735-6757(00)90047-0.
Isselbacher EM. Thoracic aortic center, Massachusetts general hospital United States of America, Harvard medical school, Boston, Massachusetts. Diseases of the aorta. Zipes: Braunwald's heart disease: a textbook of cardiovascular medicine, 2005:1403–1433. Copyright 2005 Saunders.
Olin JW, Fuster V. Acute aortic dissection: the need for rapid, accurate, and readily available diagnostic strategies. Arterioscler Thromb Vasc Biol 2003;23:1721–3. DOI: 10.1161/01.ATV.0000093222.33222.D2.
Zheng Z, Ye Z, Huang Y, et al. A case report of acute myocardial infarction concomitant with Standford type B aortic dissection. J Car Dis Res 2013: 251e253. DOI: 10.1016/j.jcdr.2013.12.002.
Martin JFV, Andrade LG, Loureiro AAC, et al. Myocardial infarction and aortic dissection: an important differential diagnosis. Braz J Cardiovasc Surg 2004;19(4):386–390. DOI: 10.1590/S0102-76382004000400010.
Crawford ES, Coselli JS, Safi HJ. Treatment dissection of ascending aorta and aortic arch based upon a study of patients requiring reoperation. Contemp Surg JAMA. 1990;264(19):2537–2541. DOI: 10.1001/jama.1990.03450190069031.