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We present the first known successfully managed case of aortic dissection in the country\u2019s history and with it highlight the challenges faced and a number of lessons learned that are beneficial to anyone working in resource-limited environments.<\/jats:p>","DOI":"10.1136\/bcr-2018-227511","type":"journal-article","created":{"date-parts":[[2019,2,1]],"date-time":"2019-02-01T05:32:31Z","timestamp":1548999151000},"page":"e227511","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["\u2018Never say never\u2019: the first successful management of a type A aortic dissection in Liberia"],"prefix":"10.1136","volume":"12","author":[{"given":"Callum Patrick","family":"Swift","sequence":"first","affiliation":[{"name":"Internal Medicine Department, JFK Medical Center, Monrovia, Liberia"},{"name":"Department of Emergency Medicine, Tallaght University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Ekyinabah","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, JFK Medical Center, Monrovia, Liberia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Graglia","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, University of California, San Francisco \u2013 Zuckerberg San Francisco General, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukhtar Abdulmajeed","family":"Adeiza","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria"},{"name":"Office of Global Health, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,31]]},"reference":[{"key":"2025082707225951000_12.1.e227511.1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.117.5.1271"},{"key":"2025082707225951000_12.1.e227511.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65594-4"},{"key":"2025082707225951000_12.1.e227511.3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"2025082707225951000_12.1.e227511.4","unstructured":"WHO. 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