YI-LIANG WUSAI-WAI HO2026-10-162026-10-162019-02-01Pure ID: 15217998Pure UUID: 628788cd-0a59-4de8-9723-1d599bf9534110.1016/j.jemermed.2018.09.053https://www.scopus.com/pages/publications/85056210737https://scholars.csmu.edu.tw/handle/123456789/30521Background: The Heimlich maneuver is a simple and universal resuscitative procedure that is performed to relieve foreign-body airway obstruction. We present a case of silent Stanford type A aortic dissection, a rarely reported complication of the Heimlich maneuver. Case Report: A 67-year-old male presented to the emergency department with left-sided hemiplegia shortly after receiving a Heimlich maneuver. Acute ischemic stroke was suspected, and the thrombolytic protocol was initiated. Fortunately, Stanford type A aortic dissection was diagnosed before the thrombolytic therapy was initiated. Why Should an Emergency Physician Be Aware of This?: Aortic dissection can develop after the Heimlich maneuver. For patients who develop a neurologic deficit after the Heimlich maneuver, vascular dissection should be considered as a possible cause.3enjournal article