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{
    "pk": 1349,
    "title": "Spontaneous Aortic Rupture: A Case Report",
    "subtitle": null,
    "abstract": "<b>Introduction: </b>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.<br><p><br></p><p><b>Case Report:</b> An 87-year-old female with hypertension and Alzheimer’s dementia presented to the emergency department with stable vital signs and a chief complaint of throat pain. Initial work-up was significant for ischemia on electrocardiogram and elevated troponin. Computed tomography of the soft tissue neck revealed evidence of a ruptured aorta.</p><p><br></p><p><b>Conclusion: </b>Aortic rupture is a fatal complication of AAS. In an elderly patient with a history of hypertension, ischemic changes on electrocardiogram, and nonspecific pain, AAS should be on the emergency physician’s differential even in the setting of a benign or limited history and exam.</p>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Acute Aortic Syndrome"
        },
        {
            "word": "Aortic Rupture"
        },
        {
            "word": "Throat Pain"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0z97z9tj",
    "frozenauthors": [
        {
            "first_name": "Eshaan",
            "middle_name": "J.",
            "last_name": "Daas",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": "Emergency Department"
        },
        {
            "first_name": "Coleman",
            "middle_name": "S.",
            "last_name": "Cowart",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": "Emergency Medicine"
        },
        {
            "first_name": "Amanda",
            "middle_name": "",
            "last_name": "Balmages",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": ""
        },
        {
            "first_name": "Ryan",
            "middle_name": "",
            "last_name": "Roten",
            "name_suffix": "",
            "institution": "Desert Regional Medical Center, Department of Emergency Medicine, Palm Springs, California",
            "department": "Emergency Medicine"
        }
    ],
    "date_submitted": "2023-05-02T21:29:30.591000Z",
    "date_accepted": "2023-08-10T22:56:45.793000Z",
    "date_published": "2023-11-08T14:00:00Z",
    "render_galley": {
        "label": "Final Article",
        "type": "pdf",
        "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1349/galley/3808/download/"
    },
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            "label": "Layout",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1349/galley/1163/download/"
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        {
            "label": "Final Article",
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            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1349/galley/3808/download/"
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}