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Silent Type-B Aortic Dissection Accidentally Discovered in a COVID-19-Positive Patient
Amr Gebril1, Ali Nawaz1, Samer Ashour1
1Emergency Medicine, NMC Royal Hospital Khalifa City, Abu Dhabi, ARE.
Insights
Coronavirus disease 2019 (COVID-19) may increase aortic dissection risk. This study found an asymptomatic aortic dissection incidentally detected during COVID-19 evaluation, highlighting diverse symptoms and conservative management.
Area of Science:
- Cardiology
- Infectious Diseases
- Radiology
Background:
- Aortic dissection is a life-threatening condition with high mortality.
- Coronavirus disease 2019 (COVID-19) is associated with increased cardiovascular risks, including aortic dissection.
- The presentation of aortic dissection can be atypical, often lacking classic pain symptoms, complicating diagnosis.
Abstract:
Aortic dissection is a critical medical condition that poses a significant threat to life, and if left untreated, it can lead to high mortality and morbidity rates. The risk of various cardiovascular complications, including aortic dissection, is increased in individuals with coronavirus disease 2019 (COVID-19). However, the significance of aortic dissection as a complication in COVID-19 patients is often underestimated. Traditionally, aortic dissection without pain was considered uncommon. However, recent information indicates that symptoms in patients with aortic dissection can be more diverse than previously believed. The classic symptoms of tearing chest, back, or abdominal pain may be absent, making diagnosis challenging. We present the incidental detection of an asymptomatic Stanford type-B aortic dissection during a computed tomography (CT) scan conducted to evaluate COVID-19. The patient was managed through conservative treatment.
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