{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:20:30Z","timestamp":1701735630714},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: Acute aortic syndrome (AAS) includes the disease processes of aortic dissection, penetrating atherosclerotic ulcer, and intramural hematoma. This case demonstrates an atypical presentation of the disease and offers approaches to potentially prevent missed diagnoses.Case Report: An 87-year-old female with hypertension and Alzheimer\u2019s dementia presented to the emergency department with stable vital signs and a chief complaint of throat pain. Initial work-up was signi\ufb01cant for ischemia on electrocardiogram and elevated troponin. Computed tomography of the soft tissue neck revealed evidence of a ruptured aorta.Conclusion: Aortic rupture is a fatal complication of AAS. In an elderly patient with a history of hypertension, ischemic changes on electrocardiogram, and nonspeci\ufb01c pain, AAS should be on the emergency physician\u2019s differential even in the setting of a benign or limited history and exam.<\/p>","DOI":"10.5811\/cpcem.1349","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T19:51:55Z","timestamp":1699473115000},"source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Aortic Rupture: A Case Report"],"prefix":"10.5811","volume":"7","author":[{"given":"Eshaan J.","family":"Daas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coleman S.","family":"Cowart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Balmages","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Roten","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2023,11,8]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T18:39:07Z","timestamp":1701715147000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/0z97z9tj"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,11,30]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.1349","relation":{},"ISSN":["2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,8]]}}}