A Case Report Of Aortic Dissection With Early Diagnosis

Aortic dissection is a non-prevalent disease leading to high mortality rate in the absence of diagnostic delay , whereas its immediate treatment significantly increases the survival rate of the patients.

Here we report a 58-year-old man patient admitted to coronary care unit of Imam Khomeini Hospital of Shirvan,Iran, with severe chest pain and sweating and primary diagnosis of acute coronary syndrome. Thereafter, the difference in blood pressure between patient’s hands captured one of the nurses’ attention and the doctor was informed quickly. The doctor ordered the CT angiography of thorax with a suspicion of dissection. According to CT findings, the final diagnosis of the patient was aortic dissection, and the patient was immediately transferred to a medical center in the nearby province for advanced medical interventions.

Early therapeutic intervention in acute aortic dissection prevents further complications and decreases the mortality associated with this disease. In the case of this patient, the performance of accurate and timely medical and nursing examinations led to quick diagnosis and rescued his life.