Presentation
Acute chest pain. Difficult communication due to language barrier. Emergency department requested exclusion of pulmonary embolism.
Patient Data
Age: 50 years
Gender: Male
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Aortic dissection: Stanford A
There is an intimal flap starting in the ascending aorta separating the true and false lumens.
Case Discussion
Contrast phase was just barely late enough to catch the Stanford A Aortic Dissection which required emergency surgery.
When patient history is hard to acquire due to language barrier Triple-rule-out CT should be considered for acute chest pain.