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Spontaneous Aortic Rupture: A Case Report
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 Alzheimerās dementia presented to the emergency department with stable vital signs and a chief complaint of throat pain. Initial work-up was signiļ¬cant 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 nonspeciļ¬c pain, AAS should be on the emergency physicianās differential even in the setting of a benign or limited history and exam