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Archivos de Medicina de Urgencia de México

2025, Number 2-3

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Arch Med Urg Mex 2025; 17 (2-3)

From suspicion of pulmonary thromboembolism to diagnosis of DeBakey type I aortic dissection: a diagnostic challenge at the emergency department

Abad-García A, López-Lucero LY, Valencia-Astudillo OH, Facio Olvera OE

Language: Spanish
References: 24
Page: 180-185
PDF size: 270.28 Kb.


ABSTRACT

Introduction: aortic dissection (AD) is a cardiovascular emergency. Symptoms include sudden, oppressive chest pain that can mimic other cardiovascular pathologies. Early diagnosis is key to guide treatment. Mortality can be as high as 50% without proper management.
Objective: to present a case of DeBakey type I aortic dissection with symptoms suggestive of another cardiopulmonary pathology.
Materials and methods: case report of a DeBakey type I aortic dissection with an atypical clinical presentation. No experimental interventions or non-standard treatments were applied.
Discussion: the case highlights the diagnostic challenge of aortic dissection. An atypical clinical presentation can delay diagnosis and timely management. High clinical suspicion, imaging tools, and a multidisciplinary approach are required for highly lethal cardiovascular pathologies.
Conclusion: AD is a potentially fatal condition that can mimic other cardiovascular pathologies. The emergency clinician must maintain a high index of suspicion for this entity early in the patient evaluation.


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