{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T18:15:51Z","timestamp":1755800151122,"version":"3.44.0"},"reference-count":12,"publisher":"SMC Media","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>This case report presents a complex clinical scenario involving a 71-year-old female with aortic dissection accompanied by hypotension. The patient\u2019s initial presentation of sudden loss of consciousness unveiled a large pericardial effusion and cardiac tamponade, leading to emergency surgery. Subsequent diagnostic findings revealed an intramural haematoma with an intimal tear in the ascending aorta. Postoperatively, the patient experienced an ischaemic stroke, necessitating prompt neurology consultation and treatment. This report underscores the significance of early recognition and collaborative management in achieving positive patient outcomes.<\/jats:p>","DOI":"10.12890\/2023_004081","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T05:49:43Z","timestamp":1695707383000},"source":"Crossref","is-referenced-by-count":1,"title":["Painless aortic dissection with catastrophic consequences presenting as sudden loss of consciousness with no prodromal symptoms"],"prefix":"10.12890","volume":"10","author":[{"given":"Yasaman","family":"Navari","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajit","family":"Brar","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bibek","family":"Karki","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Michigan State University at Hurley Medical Center, Flint, Michigan, USA; Department of Public Health, State University of New York, Albany, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Elian","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Division of Cardiology, Michigan State University at Hurley Medical Center, Flint, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10397","published-online":{"date-parts":[[2023,9,21]]},"reference":[{"key":"10.12890\/2023_004081_ref1","unstructured":"<li>Pedersen MW, Kragholm K, Oksjoki R, Moller JE, Gundlund A, Fosbol E, et al. Characteristics and outcomes in patients with acute aortic dissection: a nationwide registry study. <em>Ann Thorac Surg<\/em> 2023;S0003-4975(23)00683-5.<\/li>"},{"key":"10.12890\/2023_004081_ref2","doi-asserted-by":"crossref","unstructured":"<li>Wang MM, Gai MT, Wang BZ, Maituxun M, Yesitayi G, Chen BD, et al. The diagnostic and prognostic value of SAA1 as a novel biomarker for acute aortic dissection. <em>J Proteomics<\/em> 2023;104958.<\/li>","DOI":"10.1016\/j.jprot.2023.104958"},{"key":"10.12890\/2023_004081_ref3","doi-asserted-by":"crossref","unstructured":"<li>Rivera JA, Aragon D, Thomas P, Dominici P, Menowsky M, Akala OO. RUSHing to the diagnosis: aortic abdominal aneurysm detected using the rapid ultrasound for shock and hypotension (RUSH) protocol in the wards. <em>Cureus<\/em> 2022;<strong>14<\/strong>:e32565.<\/li>","DOI":"10.7759\/cureus.32565"},{"key":"10.12890\/2023_004081_ref4","doi-asserted-by":"crossref","unstructured":"<li>Fatima S, Sharma K. Painless aortic dissection \u2013 diagnostic dilemma with fatal outcomes: what do we learn? <em>J Investig Med High Impact Case Rep<\/em> 2017;<strong>5<\/strong>:2324709617721252.<\/li>","DOI":"10.1177\/2324709617721252"},{"key":"10.12890\/2023_004081_ref5","doi-asserted-by":"crossref","unstructured":"<li>Natour AK, Rteil A, Shepard A, Weaver M, Nypaver T, Nemeh H, et al. Outcomes of patients with acute type A aortic dissection and concomitant lower extremity malperfusion. <em>J Vasc Surg<\/em> 2022;<strong>76<\/strong>:631\u2013638.<\/li>","DOI":"10.1016\/j.jvs.2022.03.888"},{"key":"10.12890\/2023_004081_ref6","doi-asserted-by":"crossref","unstructured":"<li>Lasica RM, Perunicic JP, Popovic DR, Mrdovic IB, Arena RA, Radovanovic NL, et al. Early and late mortality predictors in patients with acute aortic dissection type B. <em>Cardiol Res Pract<\/em> 2022;<strong>2022<\/strong>:7869356.<\/li>","DOI":"10.1155\/2022\/7869356"},{"key":"10.12890\/2023_004081_ref7","doi-asserted-by":"crossref","unstructured":"<li>Ayrik C, Cece H, Aslan O, Karcioglu O, Yilmaz E. Seeing the invisible: painless aortic dissection in the emergency setting. <em>Emerg Med J<\/em> 2006;<strong>23<\/strong>:e24.<\/li>","DOI":"10.1136\/emj.2004.021790"},{"key":"10.12890\/2023_004081_ref8","doi-asserted-by":"crossref","unstructured":"<li>Guo R, Feng YM, Wan D. Hemorrhagic cardiac tamponade complicated by acute type A aortic dissection: a case report with critical care ultrasound findings. <em>Medicine (Baltimore)<\/em> 2017;<strong>96<\/strong>:e8773.<\/li>","DOI":"10.1097\/MD.0000000000008773"},{"key":"10.12890\/2023_004081_ref9","doi-asserted-by":"crossref","unstructured":"<li>Isselbacher EM, Cigarroa JE, Eagle KA. Cardiac tamponade complicating proximal aortic dissection. Is pericardiocentesis harmful? <em>Circulation<\/em> 1994;<strong>90<\/strong>:2375\u20132378. <\/li>","DOI":"10.1161\/01.CIR.90.5.2375"},{"key":"10.12890\/2023_004081_ref10","doi-asserted-by":"crossref","unstructured":"<li>Apaydin AZ, Buket S, Posacioglu H, Islamoglu F, Calkavur T, Yagdi T, et al. Perioperative risk factors for mortality in patients with acute type A aortic dissection. <em>Ann Thorac Surg<\/em> 2002;<strong>74<\/strong>:2034\u20132039.<\/li>","DOI":"10.1016\/S0003-4975(02)04096-1"},{"key":"10.12890\/2023_004081_ref11","doi-asserted-by":"crossref","unstructured":"<li>Rampoldi V, Trimarchi S, Eagle KA, Nienaber CA, Oh JK, Bossone E, et al. Simple risk models to predict surgical mortality in acute type A aortic dissection: the International Registry of Acute Aortic Dissection score. <em>Ann Thorac Surg<\/em> 2007;<strong>83<\/strong>:55\u201361.<\/li>","DOI":"10.1016\/j.athoracsur.2006.08.007"},{"key":"10.12890\/2023_004081_ref12","doi-asserted-by":"crossref","unstructured":"<li>Lin CY, Lee CY, Lee HF, Wu MY, Tseng CN, Tsai FC,et al. Postoperative stroke after type A aortic dissection repair: hemorrhage versus ischemia. <em>World J Surg<\/em> 2022;<strong>46<\/strong>:690\u2013700.<\/li>","DOI":"10.1007\/s00268-021-06375-y"}],"container-title":["European Journal of Case Reports in Internal Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/4081\/3668","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/4081\/3669","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/download\/4081\/3669","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T07:36:05Z","timestamp":1755675365000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ejcrim.com\/index.php\/EJCRIM\/article\/view\/4081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,21]]},"references-count":12,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.12890\/2023_004081","relation":{"has-manifestation":[{"id-type":"other","id":"1-106-4081-g3668","asserted-by":"subject"},{"id-type":"other","id":"1-106-4081-g3669","asserted-by":"subject"}],"is-part-of":[{"id-type":"other","id":"1-106","asserted-by":"subject"}]},"ISSN":["2284-2594"],"issn-type":[{"type":"electronic","value":"2284-2594"}],"subject":[],"published":{"date-parts":[[2023,9,21]]}}}