Table I.
Misdiagnosis of Aortic Dissection
| No. | DeBakey I | DeBakey II | DeBakey III | |
|---|---|---|---|---|
| Sex | ||||
| Male | 43 | 29 | 2 | 12 |
| Female | 8 | 6 | 1 | 1 |
| Age, y | ||||
| <40 | 7 | 2 | 1 | 4 |
| 40–60 | 34 | 24 | 2 | 8 |
| >60 | 10 | 9 | 0 | 1 |
| Time of misdiagnosis | ||||
| ≤1 d | 11 | 8 | 1 | 2 |
| ≤3 d | 4 | 4 | 0 | 0 |
| ≤1 wk | 9 | 7 | 1 | 1 |
| ≤2 wk | 6 | 4 | 0 | 2 |
| ≤3 mo | 17 | 9 | 1 | 7 |
| >3 mo | 4 | 3 | 0 | 1 |
| Frequency of misdiagnosis | ||||
| 1 | 45 | 31 | 3 | 11 |
| 2 | 5 | 3 | 0 | 2 |
| 3 | 1 | 1 | 0 | 0 |
| Misdiagnosis‐related hospital class | ||||
| I | 4 | 2 | 0 | 2 |
| II | 35 | 25 | 2 | 8 |
| III | 12 | 8 | 1 | 3 |
| Misdiagnosis related to diseases | ||||
| Pancreatitis | 5 | 3 | 0 | 2 |
| Acute coronary syndrome | 24 | 16 | 2 | 6 |
| Cerebrovascular accident | 2 | 2 | 0 | 0 |
| Cholecystitis | 3 | 1 | 0 | 2 |
| Acute gastroenteritis | 3 | 2 | 0 | 1 |
| Acute renal failure | 1 | 0 | 0 | 1 |
| Thyroid tumor | 1 | 1 | 0 | 0 |
| Congestive heart failure | 2 | 1 | 0 | 1 |
| Spinal pathology | 1 | 1 | 0 | 0 |
| Cystitis | 1 | 1 | 0 | 0 |
| Pulmonary tuberculosis | 1 | 0 | 1 | 0 |
| Pneumothorax | 1 | 1 | 0 | 0 |
| Pulmonary infection | 4 | 4 | 0 | 0 |
| Acute gastroenteritis | 1 | 1 | 0 | 0 |
| Mesenteric ischemia | 1 | 1 | 0 | 0 |