Intraoperative aortic dissection

Principles for Management of Intraoperative Acute Type A Aortic Dissection.

Intraoperative Type A aortic dissection is a rare pathology with incidence of 0.06-0.32%. It is associated with a high mortality between 30-50%. Some associated risk factors, including hypertension, enlarged aorta, peripheral vascular disease, advanced age, atheroma, and high arterial pressure on cardiopulmonary bypass, have been identified. Modification of these risk factors could reduce the i...

Intraoperative aortic dissection in a Turner syndrome patient

Intraoperative aortic dissection in a Turner syndrome patient Aortic dissection is a rare but catastrophic complication of cardiac surgery with a mortality ranging from 24-43% (1). Turner syndrome (TS) patients are known to be at an increased risk of undergoing an insidious aortic dissec-tion, however, little is known about their risk of undergoing iatrogenic dissection. In addition to airway m...

management of aortic dissection

Aortic Dissection

Aortic dissection is a longitudinal cleavage of the aortic media created by a dissecting column of blood. The term “dissecting aortic aneurysm” has been inaccurately applied to this entity since 1819, when Laënnec first used the term aneurysme dissequant. The term aortic dissection is preferred to dissecting aortic aneurysm because the affected aorta is only rarely aneurysmal. In 1955, DeBakey ...

A Rare Case of Severe Aortic Regurgitation with Silent Ascending Aortic Dissection

Classically, ascending aortic dissection (AD) presents as sudden, severe chest pain that is tearing type and radiates to the back. Herein, we present a rare case of severe aortic regurgitation with silent ascending AD, which had no chest pain symptoms. The aortic valve apparatus probably masked this AD; therefore, it was not detected by echocardiography and during the surgery.