Endovascular repair is increasingly being adopted as the treatment of choice for many thoracic aortic conditions. As the application of this technology widens, developing an evidence-based understanding of which patients are most likely to benefit is a priority. A barrier to this has been the relatively few number of procedures that are performed, so that randomized controlled trials on the sca...

Acute thoracic aortic aneurysm is one of the most life-threatening vascular disorders recognized to date. The majority of these aortic ruptures rapidly end in mortality, with 50% of patients suffering death before reaching the hospital. Thus, acute management through surgical intervention is often indicated, especially in cases of ascending aortic rupture. Physical examination is critical in ma...

We present a case of unilateral vocal cord paralysis in a 76-year-old Saudi male presenting with hoarseness of voice caused by thoracic aortic aneurysm. Here, we are illustrating a rare entity of thoracic aortic aneurysm presenting only with hoarseness of voice to draw attention to unusual clinical manifestations of this serious underlying aortic pathology.

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...

conclusions due to more sophisticated diagnostic tools and surgical approaches, mortality and morbidity of blunt aortic injuries were significantly reduced over the years compared to thoracic endovascular aortic repair and or over two different time periods. objectives the aim of the present study was to retrospectively evaluate the mortality and morbidity with either treatment option. therefor...

A patient with a dissecting thoracic aortic aneurysm presented with acute low output cardiac failure due to right atrial obstruction. Five years earlier she had had her aortic valve replaced because of aortic regurgitation. Obstruction of the superior vena cava and pulmonary artery has been reported elsewhere as a complication of compression by thoracic aortic dissecting aneurysm. This case was...

Sundeep R Bhat, MD, is an Emergency Medicine Resident in the Stanford/Kaiser Emergency Medicine Residency Program in CA. E-mail: [email protected]. Gus M Garmel, MD, FACEP, FAAEM, is a Senior Emergency Medicine Physician at the Kaiser Santa Clara Medical Center, Co-Program Director of the Stanford/Kaiser Emergency Medicine Residency Program, and Clinical Professor (Affiliated) of Surgery (Emer...