{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:40:02Z","timestamp":1745595602355,"version":"3.40.4"},"reference-count":3,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>A 35-year-old man presented to the Emergency Department with a history of severe acute central chest pain and simultaneous bilateral paralysis the legs with double incontinence. There was no significant past medical or family history. A CT scan showed a thoracic dissection of the aorta extending from the aortic root to the aortic bifurcation and in to the common iliac arteries. The patient was consented for an axillo-femoral bypass and was taken to theatre and operated on for 7 hours. The patient unfortunately died under anaesthesia. A hospital post-mortem was requested to identify the cause of the dissection. The patient\u2019s heart was sent to a cardiac pathologist who identified an undiagnosed coarctation of the aorta. Genetic testing was negative for Marfan syndrome.<\/jats:p><jats:p>As a result of the post-mortem, it was recommended that first degree relatives of the deceased undergo ultrasound examination of the cardiovascular system as appropriate to exclude coarctation of the aorta.<\/jats:p>","DOI":"10.1136\/bcr.04.2009.1740","type":"journal-article","created":{"date-parts":[[2009,8,18]],"date-time":"2009-08-18T05:26:23Z","timestamp":1250573183000},"page":"bcr0420091740","source":"Crossref","is-referenced-by-count":2,"title":["Undiagnosed coarctation of the aorta as a cause of aortic dissection in the young: Figure 1"],"prefix":"10.1136","volume":"2009","author":[{"given":"Sarah","family":"Saunders","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dean","family":"Harmse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Sheppard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2009,8,17]]},"reference":[{"key":"2025042508094813000_2009.aug17_1.bcr0420091740.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-6175.2004.02868.x"},{"key":"2025042508094813000_2009.aug17_1.bcr0420091740.2","first-page":"174","article-title":"Familial coarctation of the aorta in three generations","volume":"42","author":"Stoll","year":"1999","journal-title":"Ann Genet"},{"key":"2025042508094813000_2009.aug17_1.bcr0420091740.3","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.13.6.420"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.04.2009.1740","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T15:09:52Z","timestamp":1745593792000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.04.2009.1740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":3,"alternative-id":["10.1136\/bcr.04.2009.1740"],"URL":"https:\/\/doi.org\/10.1136\/bcr.04.2009.1740","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2009]]}}}