Medicina Fluminensis, Vol. 62 No. 2, 2026.
Ostalo
https://doi.org/10.21860/medflum2026_346501
Atypical Presentation of Stanford Type A Aortic Dissection
Branimir Šušak
; Opća bolnica Zadar, Hrvatska
*
Ivna Tomaš
; Dom zdravlja Splitsko-dalmatinske županije, Hrvatska
Patrik Torbarina
; Zavod za hitnu medicinu Karlovačke županije, Hrvatska
Zorislav Šušak
; Opća bolnica Zadar, Hrvatska
* Dopisni autor.
Sažetak
Aim: Stanford type A aortic dissection is a life-threatening condition that requires prompt intervention. If not recognized and treated immediately, it can lead to sudden death. Half of the patients with acute aortic dissection die within the first two days, while one-third of patients receive an initial treatment based on an incorrect diagnosis. Case Report: A 68-year-old female presented at the Emergency Department of the General Hospital Zadar after experiencing tingling sensations and jaw pain, coupled with transient motor aphasia and general weakness at home. Absence of angina, palpitations, loss of consciousness, dizziness, and headache were noted. With a medical history spanning twenty years of managing hypertension, dyslipidemia, and hypothyroidism, she presented with blood pressure readings of 220/105 mmHg. Admission was facilitated under suspicion of renal failure due to fluctuating creatinine levels (108-236-146 μmol/L). Two weeks later, fever onset and increased C-reactive protein (CRP) levels prompted further evaluation. Computed tomography angiography (CTA) revealed a thoracoabdominal aortic dissection (Stanford type A, DeBakey type I), prompting referral to the Cardiac Surgery Clinic for further treatment. Conclusion: Stanford type A aortic dissection poses a formidable cardiovascular threat necessitating surgical intervention. The disease's atypical clinical presentation often complicates diagnosis, leading to delays in timely intervention in affected individuals.
Ključne riječi
aortic dissection; cardiology; hypertension
Hrčak ID:
346501
URI
Datum izdavanja:
1.6.2026.
Posjeta: 0 *