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Acute ascending aortic dissection (AD) is a rare disease and carries a high fatality rate. Its mortality increased with time, 1-2% every hour after symptom onset. Occasionally, the diagnosis of acute AD could be missed or delayed since its presentation can mimic any arterial occlusive diseases including acute coronary syndrome, limb ischemia and stroke. To raise awareness of the medical community, we report on two acute ascending AD patients who presented with different cardiac manifestations.
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