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A 68\u2010year\u2010old Iranian male admitted to the infectious diseases department with the diagnosis of COVID\u201019 infection. Despite initially stable vital signs and mild symptoms, the patient's condition rapidly deteriorated over the course of several days, with severe respiratory distress and other concerning symptoms. Further investigations revealed evidence of aortic aneurysm or dissection, which was confirmed to be a Stanford type A aortic dissection extending from the aortic root to the abdominal aorta. 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