LAUSR

in trans-thoracic echocardiography suspecting acute type A aortic dissection. Shahzad et al 3 also described their experience on a 35-year-old male with initial suspicion of Marfan syndrome and a definitive diagnosis of COVID-19. He denied any chest, back, or abdominal pain; however, CT pulmonary angiogram (CTPA) showed an aortic dissection involving the root of the aorta extending to the arch of the aorta and right common carotid artery. In a case presented by Akgul et al 4 a 68-year-old woman was described with a pulseless, right femoral artery, systolic hyperten-sion, and an aortic diastolic murmur in examination, in their further assessment by CT, a type A aortic dissection flap extending through the right common iliac artery was revealed. In other studies such as case series or short communica-tions, with the report of experiences related to the occurrence of aortic dissection due to COVID-19 disease, the importance of paying more attention to this causal relationship was raised. As reported by Murana et al 5 an upward trend of patients with type A acute aortic dissection in parallel to the outbreak of COVID-19 was described. Increasingly, they showed a dramatical increase in the time between the onset of symptoms and the hospital admission leading to an increase in aortic dissection-related death before arriving in the operating room. In a large, multicenter study by Fukuhara et al 6 in the United States and China, 52 consecutive patients with type A aortic dissection during COVID-19 pandemic were described, leading to an overall prevalence of aortic