EP.WE.202Atypical presentation of Acute Aortic Dissection Standford type A dissection

Abstract Introduction Acute aortic dissection type A (AADA), a tear in the intima lining of aorta, is surgical emergency and contributes to high mortality rate if not managed promptly with intervention. Case presentation We describe case 63-year-old female history hypertension presented presumed seizure hypotension department. She did have Computed Tomography (CT) chest despite having hemopericardium on her CT abdomen pelvis. Her condition deteriorated pericardial effusion, cardiac tamponade, multi-organ failure shock. diagnosis AADA was only found stage post-mortem. Conclusion may present classical symptoms tearing pain. The combination neurological deficit should trigger hospital team consider higher up differential for If there unclear an acutely unwell patient, review radiological imaging again. Hemopericardium abdomen, pelvis request look out cause hemopericardium. fatal without prompt Immediate can significantly reduce rate.