case_images: PMC9893865_01
case_images: Electrocardiogram showing sinus rhythm with low voltage and non-specific ST-T changes.. Blue arrows: low voltage. Red arrows: non-specific ST-T changes.
case_images: cureus-0015-00000033300-i01.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i01.jpg
case_images: FIG1
case_images: The electrocardiogram (ECG) showed sinus rhythm and low voltage with non-specific ST-T changes (Figure 1).
case_images: Chest X-ray in the semi-sitting position showing the widening mediastinum (arrow).
case_images: cureus-0015-00000033300-i02.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i02.jpg
case_images: FIG2
case_images: A chest X-ray in a semi-sitting position showed mediastinal widening (Figure 2).
case_images: CT of the aorta with no radiological evidence of dissection or aneurysmal dilation (atherosclerotic changes).. (A) Ascending aorta: intimal thickening of the aorta wall (yellow arrows). (B) Ascending aorta: intimal thickening of the aorta wall (yellow arrows). (C) Aortic arch: intimal thickening of the aorta wall (yellow arrow). Yellow arrows in A and B show the ascending aorta, while the arrow in C shows the aortic arch.. CTA = computed tomography; AAO = ascending aorta; A-arch = aortic arch
case_images: cureus-0015-00000033300-i03.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i03.jpg
case_images: FIG3
case_images: CTA with contrast was requested to rule out AD. CTA showed thickening of the intimal wall with atherosclerotic calcification without any evidence of dissection or aneurysmal dilation (Figure 3).
case_images: (A) Parasternal long-axis view showing the ascending aorta and the left ventricle. (B) Parasternal long-axis view with color.. AA = ascending aorta; LV = left ventricle
case_images: cureus-0015-00000033300-i04.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i04.jpg
case_images: FIG4
case_images: Abdominal X-ray.
case_images: cureus-0015-00000033300-i05.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i05.jpg
case_images: FIG5
case_images: Abdominal ultrasound was also normal except for a right cortical kidney (Figures 5, 6).
case_images: Abdominal ultrasound.. RK = right kidney; RKC = right kidney cyst
case_images: cureus-0015-00000033300-i06.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i06.jpg
case_images: FIG6
case_images: Abdominal ultrasound was also normal except for a right cortical kidney (Figures 5, 6).
case_images: CT of the aorta demonstrates Stanford type A aortic dissection.. (A) Ascending aorta. (B) A-arch: the red arrow showing the true lumen, the yellow arrow showing the false lumen, and the white arrow showing the flap. (C) The blue arrow showing the abdominal aorta, the red arrow showing the true lumen, and the yellow arrow showing the false lumen.. CTA = computed tomography; DA = descending aorta; AA = ascending aorta; A-arch = aortic arch
case_images: cureus-0015-00000033300-i07.jpg
case_images: PMC9893865_01_cureus-0015-00000033300-i07.jpg
case_images: FIG7