Anuforo Anderson C, Adhikari Soumya, Olojakpoke Eloho H, Aiello Dana
Internal Medicine, State University of New York (SUNY) Upstate Medical University Hospital, Syracuse, USA.
Medicine, State University of New York (SUNY) Upstate Medical University Hospital, Syracuse, USA.
Cureus. 2021 Oct 12;13(10):e18728. doi: 10.7759/cureus.18728. eCollection 2021 Oct.
Acute aortic dissection (AAD) is a cardiovascular emergency that requires emergent surgical, endovascular, or medical intervention depending on the portion of the aorta implicated, as dictated by the Stanford classification, and the extent of aortic involvement. Acute chest pain radiating to the back is typically seen in AAD and may be associated with radial pulse deficits. A high index of suspicion is required to diagnose and initiate management of this emergency as early as possible. This is a report of an atypical presentation of an extensive aortic dissection identified in a young man without most of the typical risk factors, but which was promptly diagnosed and treated.
急性主动脉夹层（AAD）是一种心血管急症，根据斯坦福分类法，需根据受累主动脉的部位以及主动脉受累程度，采取紧急手术、血管内介入或药物治疗。AAD患者通常会出现放射至背部的急性胸痛，可能伴有桡动脉搏动减弱。诊断并尽早启动对该急症的治疗需要高度的怀疑指数。本文报告了一名年轻男性发生广泛主动脉夹层的非典型表现，该患者没有大多数典型危险因素，但得到了及时诊断和治疗。
