Work

Type‐A Aortic Dissection Evading Aortic Dissection Detection Score in Vulnerable Patient: A Case Report

Year: 2025

Type: article

Abstract: Algorithms and tools are frequently utilized in emergency medicine workflows. Focusing on selective information, they are at risk of missing patients with atypical presentations of sometimes life-threatening conditions. This case report highlights a female patient in her late 70s who was transferred to the emergency department due to vomiting and diarrhea after eating raw fish for lunch. While she was initially stable and symptom-free, her dynamic course in the emergency department ultimately led to the diagnosis of an acute aortic dissection. After performing an emergency aortic arch replacement, the patient's postoperative stay and one-year follow-up were unremarkable. Concluding, this case report elaborates on the implications of respecting atypical presentations in vulnerable patients.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.70684

Authors: Felix Wehking, Jan‐Christoph Lewejohann, Florian Buerckenmeyer

Institution: Jena University Hospital

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820