Year: 2025
Type: preprint
Study design: Case Report
Abstract: Aortic dissection remains a critical cardiovascular emergency with high mortality. We present the case of a 68-year-old male, a chronic smoker without known hypertension, who arrived with sudden back and lumbar pain. Initial examination showed stable vital signs and no neurological abnormalities. Transthoracic echocardiography identified a double aortic wall, raising suspicion for a thrombosed false lumen. Subsequent CT angiography confirmed a type B aortic dissection with a thrombosed lumen, spanning from the thoracic to the suprarenal abdominal aorta. Medical management using beta-blockers and ACE inhibitors was initiated. Despite apparent initial stability, the patient suffered a sudden cardiac death. This case underscores the unpredictable nature and potential severity of type B aortic dissections, even in the absence of classic risk factors.
Source: Research Square
Authors: Z.HAMDANI, EM.Rochd, H.Hatim, S.Arous, A.Drighil, R.Habbal
Institution: Centre Hospitalier Universitaire Ibn Rochd
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4411202178