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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Frank's sign with acute aortic dissection.

Hironobu Nishiori1, Hiroyuki Watanabe1, Yuichi Hirano1

  • 1Division of Cardiovascular Surgery Narita Red Cross Hospital Chiba Japan.

Clinical Case Reports
|March 28, 2022
PubMed
Summary
This summary is machine-generated.

Frank's sign, a physical examination finding in the ears, can indicate serious aortic disease, such as acute aortic dissection, even in younger patients. Early recognition is crucial for timely diagnosis and treatment of cardiovascular conditions.

Keywords:
Frank's signaortic dissectioncardiovascular diseasecoronary artery disease

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Area of Science:

  • Cardiovascular Medicine
  • Diagnostic Imaging
  • Clinical Examination

Background:

  • Frank's sign (diagonal earlobe crease) is an external physical finding.
  • Its association with cardiovascular disease, particularly coronary artery disease, has been previously suggested.
  • The link between Frank's sign and aortic pathology, specifically acute aortic dissection, is less established.

Purpose of the Study:

  • To report a case of Stanford type A acute aortic dissection associated with Frank's sign.
  • To highlight the potential significance of Frank's sign in identifying patients at risk for aortic disease.
  • To emphasize the importance of considering aortic pathology in younger individuals presenting with Frank's sign.

Main Methods:

  • Case presentation of a 59-year-old male with sudden back pain and a history of smoking.
  • Physical examination noting the presence of Frank's sign bilaterally.
  • Computed tomography (CT) scan to diagnose the aortic pathology.

Main Results:

  • The patient was diagnosed with Stanford type A acute aortic dissection.
  • Frank's sign was observed in both ears.
  • The case underscores a potential association between Frank's sign and acute aortic dissection.

Conclusions:

  • Frank's sign may serve as a clinical indicator for aortic disease, including acute aortic dissection.
  • Clinicians should consider aortic pathology in patients, especially younger ones, who exhibit Frank's sign.
  • This finding warrants further investigation into the predictive value of Frank's sign for various cardiovascular conditions.