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An easy miss: aortic dissection in a ‘healthy’ male
  1. Michael Lawrenz F Co1,
  2. Arianne Clare Agdamag1,
  3. Roselyn Cristelle Mateo1,
  4. Kim A Williams2
  1. 1Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA
  2. 2Division of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, Illinois, USA
  1. Correspondence to Dr Michael Lawrenz F Co, michael_co{at}


Aortic dissection is an uncommon cause of chest discomfort that can be rapidly fatal without early diagnosis and prompt treatment. In this report, we present a man with no risk factors who presented with chest discomfort not typical of a dissection, absent pulse and blood pressure differential and a normal chest radiograph. He eventually was diagnosed with an extensive Type-A aortic dissection. We discuss diagnostic clues, classification of aortic dissection and possible treatment options.

  • cardiovascular medicine
  • intensive care
  • emergency medicine
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  • Contributors MLFC was involved in the patient care, conceptualisation of the report, writing the case presentation and discussion, coordination and editing the final paper. ACA was involved in obtaining the images and literature review. RCM was involved in writing the abstract. KAW was the case adviser who provided guidance in the overall direction of the paper and edited the final version of the paper.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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