{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:24:37Z","timestamp":1785241477383,"version":"3.55.0"},"reference-count":7,"publisher":"SMC Media","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Aortic dissection is a relatively uncommon, although catastrophic, disease which requires early and accurate diagnosis and treatment for patient survival. Aortic dissection can be difficult to diagnose due to the diverse symptom presentation, which can lead to later diagnosis, resulting in a higher mortality rate. Here we present a case of type A aortic dissection with a varied symptom presentation, highlighting the importance of early detection and the Bentall procedure for management of such cases. A 50-year-old man with no known medical history presented with bilateral lower extremity swelling and fatigue for 2 weeks. The patient denied any chest pain or dyspnoea. Vital signs showed blood pressure of 160\/76 mmHg, pulse of 103 bpm, respiratory rate of 18, and temperature of 36.7\u00b0C. Laboratory findings indicated a BNP of 1901 pg\/ml and troponin of 0.5 ng\/ml. An initial diagnosis of decompensated heart failure was made, and IV Lasix was started. Subsequently, an echocardiogram indicated an EF of 50\u201355% and ascending dissection of the aorta. A CT angiogram of the chest and abdomen confirmed this diagnosis. This patient presented with unusual symptoms of aortic dissection without the typical presentation of chest pain. It is important to consider aortic dissection in a cardiac-related case as prompt imaging can help confirm the diagnosis. We explore the risks and benefits of the Bentall procedure for the management and early detection of aortic dissection.<\/jats:p>","DOI":"10.12890\/2022_003197","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T03:18:30Z","timestamp":1646104710000},"source":"Crossref","is-referenced-by-count":2,"title":["Painless Presentation of a Deadly Disease: Type A Aortic Dissection Requiring the Bentall Procedure"],"prefix":"10.12890","volume":"9","author":[{"given":"Muhammad Atif Masood","family":"Noori","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Health\/Trinitas Regional Medical Center, Elizabeth, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpesh","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Joseph\u2019s University Medical Center, Paterson, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hardik","family":"Fichadiya","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Health\/Trinitas Regional Medical Center, Elizabeth, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mofe","family":"Adeosun","sequence":"additional","affiliation":[{"name":"St. George\u2019s University, True Blue, Grenada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti","family":"Jesani","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Health\/Trinitas Regional Medical Center, Elizabeth, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmund Appiah-Kubi","family":"Edmund Appiah-Kubi","sequence":"additional","affiliation":[{"name":"St. George\u2019s University, True Blue, Grenada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasham","family":"Saeed","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Health\/Trinitas Regional Medical Center, Elizabeth, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif Elkattawy","family":"Sherif Elkattawy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Health\/Trinitas Regional Medical Center, Elizabeth, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meherwan","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Rutgers Health\/Trinitas Regional Medical Center, Elizabeth, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10397","published-online":{"date-parts":[[2022,4,4]]},"reference":[{"key":"10.12890\/2022_003197_ref1","doi-asserted-by":"crossref","unstructured":"<li>Ahmed T, Nair R, Lak H, Lodhi SH, Maroo A. Two intriguing cases of Stanford type A acute aortic dissection. <em>Cureus<\/em> 2020;<strong>12<\/strong>(2):e6986. doi: 10.7759\/CUREUS.6986<\/li>","DOI":"10.7759\/cureus.6986"},{"key":"10.12890\/2022_003197_ref2","unstructured":"<li>Levy D, Goyal A, Grigorova Y, Farci F, Le JK. Aortic dissection. StatPearls. Published online 17 June 2021 (accessed 24 December 2021). Available from https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441963\/<\/li>"},{"key":"10.12890\/2022_003197_ref3","doi-asserted-by":"crossref","unstructured":"<li>Mando R, Tim D, DeCicco A, Trivax J, Hanson I. Master of the masquerade: an atypical presentation of acute aortic dissection. <em>Case Rep Cardiol<\/em> 2020;<strong>2020<\/strong>:5743985. doi: 10.1155\/2020\/5743985<\/li>","DOI":"10.1155\/2020\/5743985"},{"key":"10.12890\/2022_003197_ref4","doi-asserted-by":"crossref","unstructured":"<li>Solhjoo M, Swarup S, Makaryus AN. A case of aortic dissection presenting with atypical symptoms and diagnosed with transthoracic echocardiography. <em>Case Rep Radiol<\/em> 2019;<strong>2019<\/strong>:6545472. doi: 10.1155\/2019\/6545472<\/li>","DOI":"10.1155\/2019\/6545472"},{"key":"10.12890\/2022_003197_ref5","doi-asserted-by":"crossref","unstructured":"<li>Cherry C, DeBord S, Hickey C. The modified Bentall procedure for aortic root replacement. <em>AORN J <\/em>2006;<strong>84<\/strong>(1):52\u201355, 58\u201370. doi: 10.1016\/S0001-2092(06)60098-7<\/li>","DOI":"10.1016\/S0001-2092(06)60098-7"},{"key":"10.12890\/2022_003197_ref6","doi-asserted-by":"crossref","unstructured":"<li>Yang B, Patel HJ, Sorek C, Hornsby WE, Wu X, Ward S, et al. Sixteen-year experience of David and Bentall procedures in acute type A aortic dissection. <em>Ann Thorac Surg<\/em> 2018;<strong>105<\/strong>(3):779\u2013784. doi: 10.1016\/J.ATHORACSUR.2017.09.029<\/li>","DOI":"10.1016\/j.athoracsur.2017.09.029"},{"key":"10.12890\/2022_003197_ref7","doi-asserted-by":"crossref","unstructured":"<li>Etz CD, Bischoff MS, Bodian C, Roder F, Brenner R, Griepp RB, et al. The Bentall procedure: is it the gold standard? A series of 597 consecutive cases. <em>J Thorac Cardiovasc Surg<\/em> 2010;<strong>140<\/strong>:S64\u2013S70. doi: 10.1016\/j.jtcvs.2010.07.033<\/li>","DOI":"10.1016\/j.jtcvs.2010.07.033"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3197\/3030","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3197\/3031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/3197\/3031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T11:34:55Z","timestamp":1755862495000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/3197"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,4]]},"references-count":7,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.12890\/2022_003197","relation":{"has-manifestation":[{"id-type":"other","id":"1-83-3197-g3030","asserted-by":"subject"},{"id-type":"other","id":"1-83-3197-g3031","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-83","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"value":"2284-2594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,4]]},"article-number":"16"}}