Painless Stanford A Aortic Dissection: A Case Report

Abstract

We describe the case of a 58-year-old black male smoker patient with untreated hypertension admitted to the emergency room without symptoms, having presented a few hours earlier, moderate chest pain with transient sweating. The clinical examination found blood pressure asymmetry and a weaker radial pulse on the right arm. The ECG showed nonspecific abnormalities. D dimers were greater than 20,000 µg/L. Chest CT angiography showed Stanford type A aortic dissection. The patient underwent emergency surgery with aortic valve replacement.