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A subsequent urgent CT angiography of the whole aorta confirmed a complex type A aortic dissection with an aneurysmal ascending aorta. An emergency type A aortic dissection repair (modified Bentall\u2019s procedure) was done. The patient made a good recovery, was discharged successfully 2\u2009weeks after the procedure and was doing well on postoperative follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2024-261556","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T23:40:25Z","timestamp":1726875625000},"page":"e261556","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Silent stealth: painless aortic dissection masquerading as heart failure"],"prefix":"10.1136","volume":"17","author":[{"given":"Sajeela","family":"Riaz","sequence":"first","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust, Hull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5835-5478","authenticated-orcid":false,"given":"Dalia","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Cardiology, Hull University Teaching Hospitals NHS Trust, Hull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6014-0502","authenticated-orcid":false,"given":"Benjamin I","family":"Omoregbee","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, Hull University Teaching Hospitals NHS Trust, Hull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hafiz","family":"Butt","sequence":"additional","affiliation":[{"name":"Hull University Teaching Hospitals NHS Trust, Hull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed Yaseen","family":"Naqvi","sequence":"additional","affiliation":[{"name":"Cardiology, Hull University Teaching Hospitals NHS Trust, Hull, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"2025082709074262000_17.9.e261556.1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181dd869b"},{"key":"2025082709074262000_17.9.e261556.2","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2010.187"},{"key":"2025082709074262000_17.9.e261556.3","article-title":"Acute aortic dissection (AAD) - a lethal disease: the epidemiology, pathophysiology and natural history","volume":"30","author":"Booth","year":"2023","journal-title":"Br J Cardiol"},{"key":"2025082709074262000_17.9.e261556.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.17.2262"},{"key":"2025082709074262000_17.9.e261556.5","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S0022-5223(19)33323-9","article-title":"SURGICAL MANAGEMENT OF DISSECTING ANEURYSMS OF THE AORTA","volume":"49","author":"De Bakey","year":"1965","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025082709074262000_17.9.e261556.6","doi-asserted-by":"publisher","DOI":"10.4065\/79.10.1252"},{"key":"2025082709074262000_17.9.e261556.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)60599-0"},{"key":"2025082709074262000_17.9.e261556.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.05.029"},{"key":"2025082709074262000_17.9.e261556.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-6757(99)90087-6"},{"key":"2025082709074262000_17.9.e261556.10","unstructured":"Wolfe WG . 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