Type A aortic dissection is a very dangerous, fatal, and emergency condition for surgery. Acute aortic dissection is a rare condition, such that many patients will not survive without reconstructive surgery. We present a case 24-year-old male who came with symptoms of shortness of breath and cough. The patient underwent ECG, chest radiology, and ultrasound, where the patient was found to have right pleural effusion while his ECG was normal. In the history taken from the patient, he had no underlying disease, no history of heart diseases in his family. For a better diagnosis, ETT and aortic CT angiography was performed on the patient which confirmed the evidence of dissection. Immediately after the diagnosis, necessary arrangements were made for open heart surgery and the patient was prepared for surgery. The patient was admitted in the cardiac surgery ICU for 5 days and his medication was carefully administered. After the conditions were stabilized, the patient was transferred to the post-cardiac surgery ICU ward. The patient was discharged from the hospital one week after the surgery and returned to the office as an OPD one week after his discharge. Various risk factors can play a role in creating aortic dissection. Therefore, it is necessary to pay attention to patients’ history for achieving a quick and definitive diagnosis. Therefore, to control the complications of placing the cannula as well as the duration of the surgery, it is very important to reduce the duration of pumping on the patient and to be very careful during the cannula placement.

中文翻译：

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病例报告：无任何危险因素的大面积主动脉夹层年轻患者的诊断和急诊手术

A 型主动脉夹层是一种非常危险、致命和紧急的手术情况。急性主动脉夹层是一种罕见的疾病，许多患者如果不进行重建手术就无法生存。我们介绍了一名 24 岁男性，他出现了呼吸急促和咳嗽的症状。患者接受了心电图、胸部放射学和超声检查，发现患者有右侧胸腔积液，而他的心电图正常。从患者的病史中，他没有基础疾病，家族中也没有心脏病史。为了更好的诊断，对患者进行了 ETT 和主动脉 CT 血管造影，证实了夹层的证据。确诊后立即进行了心脏直视手术的必要安排，并为患者做好了手术准备。患者在心脏外科重症监护室住了 5 天，他的药物得到了仔细的管理。待病情稳定后，患者转入心脏手术后ICU病房。患者在手术后一周出院，并在出院一周后作为 OPD 返回办公室。各种风险因素可以在主动脉夹层中发挥作用。因此，有必要注意患者的病史，以实现快速和明确的诊断。因此，为了控制放置套管的并发症以及手术的持续时间，减少对患者进行泵送的持续时间并在套管放置过程中非常小心是非常重要的。待病情稳定后，患者转入心脏手术后ICU病房。患者在手术后一周出院，并在出院一周后作为 OPD 返回办公室。各种风险因素可以在主动脉夹层中发挥作用。因此，有必要注意患者的病史，以实现快速和明确的诊断。因此，为了控制放置套管的并发症以及手术的持续时间，减少对患者进行泵送的持续时间并在套管放置过程中非常小心是非常重要的。待病情稳定后，患者转入心脏手术后ICU病房。患者在手术后一周出院，并在出院一周后作为 OPD 返回办公室。各种风险因素可以在主动脉夹层中发挥作用。因此，有必要注意患者的病史，以实现快速和明确的诊断。因此，为了控制放置套管的并发症以及手术的持续时间，减少对患者进行泵送的持续时间并在套管放置过程中非常小心是非常重要的。各种风险因素可以在主动脉夹层中发挥作用。因此，有必要注意患者的病史，以实现快速和明确的诊断。因此，为了控制放置套管的并发症以及手术的持续时间，减少对患者进行泵送的持续时间并在套管放置过程中非常小心是非常重要的。各种风险因素可以在主动脉夹层中发挥作用。因此，有必要注意患者的病史，以实现快速和明确的诊断。因此，为了控制放置套管的并发症以及手术的持续时间，减少对患者进行泵送的持续时间并在套管放置过程中非常小心是非常重要的。