Background: Acute aortic dissection is a common life-threatening disorder affecting the aorta. The immediate mortality rate in aortic dissection is as high as 1% per hour over the first several hours, making early dia...Background: Acute aortic dissection is a common life-threatening disorder affecting the aorta. The immediate mortality rate in aortic dissection is as high as 1% per hour over the first several hours, making early diagnosis and treatment critical for survival. Case presentation: We are presenting a case of Stanford Type A aortic dissection in a 58-year-old male patient with a history of hypertension. He arrived at the emergency department (ED) with diagnosed acute coronary syndrome a few hours after a sudden and severe worsening of his epigastric pain. Interesting case where the dissection starts from the orifice of the right coronary artery, occupies the aortic valve. Conclusion: Predictors of follow-up this cause mortality reflect patient history variables as opposed to in-hospital parameters or in-hospital complications, which may be explained by the successful in-hospital treatment of the acute dissection.展开更多
文摘Background: Acute aortic dissection is a common life-threatening disorder affecting the aorta. The immediate mortality rate in aortic dissection is as high as 1% per hour over the first several hours, making early diagnosis and treatment critical for survival. Case presentation: We are presenting a case of Stanford Type A aortic dissection in a 58-year-old male patient with a history of hypertension. He arrived at the emergency department (ED) with diagnosed acute coronary syndrome a few hours after a sudden and severe worsening of his epigastric pain. Interesting case where the dissection starts from the orifice of the right coronary artery, occupies the aortic valve. Conclusion: Predictors of follow-up this cause mortality reflect patient history variables as opposed to in-hospital parameters or in-hospital complications, which may be explained by the successful in-hospital treatment of the acute dissection.