article = {JDMC-2019-1-107} title = {The River of no Return: Acute Aortic Dissection with Catastrophic Outcome} journal = {Journal of Diabetes Metabolism and its Complications} year = {2019} issn = {2674-4163} doi = {http://dx.doi.org/10.31487/j.JDMC.2019.01.07} url = {https://www.sciencerepository.org/the-river-of-no-return-acute-aortic-dissection_JDMC-2019-1-107 author = {Awad Magbri,Eussera El-Magbri ,Kaveh Ilkhanipour ,Kevin Leonard ,Michael G Abesamis ,} keywords = {Dissecting aortic aneurysm, computer tomographic angiography dissecting flap, continuous-veno-venous hemofiltration, hypertension} abstract ={The authors discuss a case of aortic dissection in a young man with hypertension. The delay in considering the diagnosis and ordering the proper investigations secondary to the unusual presentation of the case complicated by the logistics of patient’s transfer to specialized Cardiothoracic unit where surgery can be performed safely have impacted the unfortunate outcome.}