Table 1.
Clinical characteristics, outcome of each patient.
| Case | Sex | Age | Symptoms | Missed diagnosis of AD | Dissection type | Involved cerebrovascular | GERAADA score (%) | Prognosis | Death reasons |
| 1 | F | 69 | Headache for 5 days | yes | Type A | BCA, LCCA, LSCA | 19.6 | alive | |
| 2 | M | 54 | Left limb weakness 7 hours, abdominal pain for 5 hours | yes | Type A | RCCA, RSCA | 53 | died | aortic rupture, cardiac tamponade |
| 4 | M | 53 | Dizziness and chest tightness for 2 days | yes | Type A | BCA, LCCA, LSCA | 24.3 | alive | |
| 5 | F | 40 | Disorder of consciousness for 2 hours | yes | Type A | BCA, LCCA, LSCA | 17.7 | died | broad cerebral infarction |
| 6 | M | 33 | Transient syncope and chest pain for 4 hours | yes | Type A | BCA | 11.4 | alive | |
| 10 | F | 60 | Prominent left limb weakness for 11 hours | yes | Type A | BCA, RCCA | 78.1 | died | aortic rupture, cardiac tamponade |
| 12 | M | 56 | Left lower extremity numbness and chest and back pain for 3 hours | yes | Type A | BCA, LCCA, RSCA, LSCA | 79.8 | died | cardiac tamponade, myocardial infarction |
| 13 | M | 50 | Disorder of consciousness for 20 hours | yes | Type A | BCA, LCCA, LSCA | 81.2 | died | broad cerebral infarction |
| 14 | M | 45 | Coma for 2 days | yes | Type A | LCCA, LSCA | 79.8 | died | broad cerebral infarction, myocardial infarction |
| 15 | M | 50 | Coma for 9 hours | yes | Type A | BCA, LCCA, LSCA | 43.1 | died | broad cerebral infarction |
| 16 | M | 60 | Disturbance of consciousness for 10 days | yes | Type A | BCA, LCCA, LSCA | 74.6 | died | aortic rupture, hypotensive shock |
| 17 | M | 72 | Disturbance of consciousness for 6 days | yes | Type A | BCA, LSCA | 92.8 | died | aortic rupture, cardiac tamponade |
| 22 | F | 58 | Right limb weakness for 8 days | yes | Type A | No cerebrovascular teared | 35.4 | alive | |
| 23 | F | 56 | Sudden left limb weakness with chest pain for 2 hours | yes | Type A | BCA, LCCA, LSCA | 34.5 | alive | |
| 24 | F | 64 | Fatigue with chest and abdomen pain for 1 day | yes | Type A | BCA, LCCA, RCCA | 92.1 | died | cardiac tamponade, broad cerebral infarction |
| 7 | F | 84 | Left limb weakness for 1 month and chest pain for 10 days | yes | Type B | No cerebrovascular teared | 26 | died | broad cerebral infarction |
| 20 | M | 58 | Slurred speech and physical weakness for 3 days | yes | Type B | LCCA, RSCA | 34.1 | alive | |
| 21 | F | 63 | Sudden disturbance of consciousness for 2 hours | yes | Type B | No cerebrovascular teared | 81.4 | died | broad cerebral infarction |
| 8 | M | 56 | Post-traumatic chest pain for 16 days, Consciousness disturbance 9 hours | no | Type A | BCA, LCCA, LSCA | 18 | alive | |
| 9 | F | 67 | Head, neck and chest pain for 7 hours | no | Type A | BCA, LCCA | 56 | died | right ventricular myocardial infarction |
| 11 | M | 75 | Consciousness disturbance with chest pain for 6 hours | no | Type A | Not applicable | 84.7 | died | aortic rupture, cardiac tamponade |
| 18 | M | 80 | Transient syncope and Chest pain for 4 hours | no | Type A | Not applicable | 33.2 | died | aortic rupture, hypotensive shock |
| 19 | F | 69 | Transient syncope and Chest pain for 7 hours | no | Type A | No cerebrovascular teared | 20.7 | died | broad cerebral infarction |
| 25 | M | 65 | Disturbance of consciousness for 10 hours | no | Type A | BCA, LCCA | 90.7 | died | aortic rupture, cardiac tamponade |
| 3 | M | 41 | Transient syncope, then chest pain for 2 days | no | Type A | BCA, LCCA, LSCA | 29.7 | alive |
AD, aortic dissection; GERAADA score, the German Registry of Acute Aortic Dissection Type A score; F, female; M, male; BCA, brachiocephalic trunk; LCCA, left common carotid artery; LSCA, left subclavian artery; RCCA, right common carotid artery; RSCA, right subclavian artery.