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Updated: Jun 5, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
COVID-19 Infection and Massive Aortic Dissection
Mehrangiz Zangeneh1, Yasamin Khosravaninezhad2, Masoumeh Mesgarian1
1Infectious Diseases Department Islamic Azad University of Medical Sciences Tehran Iran.
Insights
This study reports a rare case of Stanford type A aortic dissection in a COVID-19 patient, highlighting a potential link between the virus and aortic emergencies. Further research is needed to understand this association.
Area of Science:
- Cardiology
- Infectious Diseases
- Vascular Surgery
Background:
- COVID-19 is known to cause hypercoagulability, increasing the risk of cardiovascular complications.
- Aortic dissection is a life-threatening condition involving a tear in the aorta's inner layer.
Purpose of the Study:
- To present a case of Stanford type A aortic dissection in a patient with COVID-19.
- To explore the potential association between COVID-19 infection and aortic dissection.
Main Methods:
- Case report of a 68-year-old male with COVID-19.
- Clinical evaluation, diagnostic investigations, and confirmation of Stanford type A aortic dissection.
Main Results:
- The patient presented with severe respiratory distress despite initial mild COVID-19 symptoms.
- Diagnostic imaging confirmed Stanford type A aortic dissection extending from the aortic root to the abdominal aorta.
Conclusions:
- COVID-19 infection may be associated with an increased risk of aortic dissection.
- Further investigation into the pathophysiological mechanisms linking COVID-19 and aortic dissection is warranted.
Abstract:
COVID-19 had a significant impact on public health, including respiratory and cardiovascular complications. Because of COVID-19 hypercoaglupathy effect, it can lead to cardiovascular complications. A 68-year-old Iranian male admitted to the infectious diseases department with the diagnosis of COVID-19 infection. Despite initially stable vital signs and mild symptoms, the patient's condition rapidly deteriorated over the course of several days, with severe respiratory distress and other concerning symptoms. Further investigations revealed evidence of aortic aneurysm or dissection, which was confirmed to be a Stanford type A aortic dissection extending from the aortic root to the abdominal aorta. The available evidence points to a potential association between COVID-19 infection and aortic dissection, and the need for continue investigations about the pathophysiological mechanisms underlying this relationship.
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