Management of Type A Aortic Dissection in the Emergency Department: A Comprehensive Case Report

Abstract

This case report elucidates the presentation and management of a 54-year-old man with type A aortic dissection (TAAD) in the emergency department. The patient, a known diabetic with uncontrolled hypertension and a history of heavy smoking, presented with severe central chest pain radiating to the back, accompanied by diaphoresis. Clinical evaluation revealed tachycardia and normotension. An immediate computed tomography angiogram confirmed the diagnosis of TAAD. The patient received timely medical intervention with intravenous beta-blockers and was prepared for a surgical consultation. This report underscores the critical importance of rapid diagnosis, effective blood pressure control, and multidisciplinary collaboration in the management of TAAD in the emergency setting, emphasizing contemporary evidence-based practices. While the article omits details on operative procedures, it notes that the patient was discharged in stable condition postsurgery, and at the 3-month follow-up, he is progressing well.

Keywords

• emergency type a aortic dissection
• thoracic aortic dissection
• type a aortic dissection