Radiological Diagnosis and Emergency Management of Aortic Dissection in a Patient With a Fused Bicuspid Aortic Valve: A Case Study

This report presents a case of an acute Type A aortic dissection in a young patient with atypical symptoms, highlighting the importance of prompt radiology-aided diagnosis and intervention. A 29-year-old male with no significant medical history presented with right upper quadrant and epigastric pain, along with leg numbness. Extensive imaging revealed an ascending aortic dissection with a 5.1 cm aneurysm and moderate-to-severe pericardial effusion. After initial stabilization, an emergency Bentall procedure with mechanical valve replacement was performed. It emphasizes the importance of considering aortic dissection in young patients with atypical symptoms, as it can mimic other conditions, complicating timely diagnosis and management. The postoperative course was uneventful, and the patient stabilized in the intensive care unit (ICU). Early recognition and rapid surgical intervention are crucial in managing atypical aortic dissection cases, especially in younger patients with minimal risk factors.