# A Case Report of Type B Aortic Dissection With Ruptured False Lumen

## TL;DR

This case report describes a fatal instance of type B aortic dissection with a ruptured false lumen in a 54-year-old man.

## Contribution

The novelty lies in presenting a rare clinical case emphasizing the urgency of early diagnosis in aortic dissection.

## Key findings

- The patient had chronic type B aortic dissection with a contained false lumen rupture.
- Despite initial stabilization, the patient's condition rapidly deteriorated and led to death.
- The case underscores the importance of timely diagnosis and management of aortic dissection.

## Abstract

Aortic dissection is a critical condition characterized by an intimal tear in the aortic wall, leading to the formation of a false lumen. We present a case of a 54-year-old male with chronic type B aortic dissection and hypertension who presented with acute tearing left back pain. Initial evaluation revealed elevated blood pressure and subtle laboratory abnormalities. Imaging confirmed a Stanford type B aortic dissection with an intramural hematoma and contained rupture of the false lumen. Despite initial stabilization efforts, the patient deteriorated rapidly and succumbed. This case highlights the critical importance of early diagnosis.