Thoracic Aortic Syndromes.
نویسنده
چکیده
Aortic dissection (AD) is a lethal, treatable disruption of the aortic vessel wall. It often presents without classic features, mimicking symptoms of other conditions, and diagnosis is often delayed. Established high-risk markers of AD should be sought and indicate advanced aortic imaging with CT, MRI, or TEE. Treatment is immediate surgical evaluation, aggressive symptom relief, and reduction of the force of blood against the aortic wall by control of heart rate, followed by blood pressure.
منابع مشابه
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.
متن کاملLate lumen loss in thoracic aortic end graft after endovascular procedure of a traumatic pseudoaneurysm
We report the case of a 23-year-old woman who died due to endograft stenosis 20 months after thoracic endovascular aortic repair. The patient presented with the pseudocoarctation syndrome. Although angioplasty of stenosis endograft was successfully performed, severe metabolic complications were lethal.
متن کاملIs Emilin-1 a molecular link contributing to the extension of thoracic aortic aneurysm dissection and increasing the magnitude of the associated hypertension
Patients with acute aortic dissection, the dominant condition in acute aortic syndromes, have a high mortality [1]. Within types of thoracic aortic dissection, the more extensive the TAD the worse the prognosis [2]. Thus, factors influencing the extent of the TAD are important considerations. The initial presentation of acute aortic dissection is severe chest pain and hypertension. The presence...
متن کاملAortic Disease in the Young: Genetic Aneurysm Syndromes, Connective Tissue Disorders, and Familial Aortic Aneurysms and Dissections
There are many genetic syndromes associated with the aortic aneurysmal disease which include Marfan syndrome (MFS), Ehlers-Danlos syndrome (EDS), Loeys-Dietz syndrome (LDS), familial thoracic aortic aneurysms and dissections (TAAD), bicuspid aortic valve disease (BAV), and autosomal dominant polycystic kidney disease (ADPKD). In the absence of familial history and other clinical findings, the p...
متن کاملComplication of Endoleak and Retrograde Type A Dissection after Stenting of a Ruptured Type B Dissection
Acute aortic syndromes including aortic rupture remain lifethreatening, and represent a unique area in cardiovascular surgery. Thoracic endovascular aortic repair (TEVAR) has become widely accepted as a major option in the treatment of thoracic aortic diseases, particularly for emergency patients such as those with a ruptured dissection [1,2]. We report a case with type B aortic dissection that...
متن کامل[Outcome of endovascular stent graft placement in patients with acute thoracic aortic syndromes].
OBJECTIVE To evaluate the outcome of endovascular stent graft placement in patients with acute thoracic aortic syndromes. METHODS Emergency stent-graft implantations were performed in 57 patients with acute thoracic aortic syndromes from May 2001 to December 2005 (45 Stanford B aortic dissections, 9 acute penetrating aortic ulcers or pseudoaneurysms. 3 traumatic thoracic aneurysms). The clini...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Emergency medicine clinics of North America
دوره 35 4 شماره
صفحات -
تاریخ انتشار 2017