Seasonal differences in the manifestation of cardiac death caused by arrhythmia, heart failure or acute myocardial infarction, with peaks during winter months, have been reported. Circadian patterns have also been shown for aortic dissection. A recent large population based study failed to find convincing statistical evidence of seasonal variability for ruptured aneurysms and dissections of the...

PURPOSE The aim of this study was to analyze midterm results of frozen elephant trunk technique for Marfan syndrome with acute aortic dissection. METHODS Between February 1999 and August 2011 we performed arch replacement uisng frozen elephant trunk technique for acute aortic dissection in 8 patients with Marfan syndrome containing two complicated type B dissections and six type A dissections...

Background Both acute aortic dissection and ruptured aortic aneurysm are leading causes of death in cardiovascular disease. These life-threatening conditions have recently been categorized as acute aortic syndrome. This review describes the etiology, clinical presentation, and therapeutic options for acute aortic syndrome including acute aortic dissection and ruptured aortic aneurysm. Main bo...

BACKGROUND Acute type A aortic dissection (AAAD) is a cardiovascular emergency with a high potential for death. Rapid surgical treatment is indicated to prevent fatal complications. Aggressive appropriate medical management starts at first suspicion and is essential to prevent exacerbation or rupture of the dissection. Despite improved surgical techniques, perioperative care and the development...

BACKGROUND A simple emergency risk prediction tool should be developed for clinicians to quickly identify the prognosis of patients with acute aortic dissection. METHODS We enrolled 280 patients with acute aortic dissection admitted to emergency department between May 2010 and February 2013. Multivariate logistic regression analysis was performed to identify independent predictors of in-hospi...

showed pulmonary congestion and transthoracic echocardiography showed aortic valve regurgitation without ascending aortic dissection. Computed tomography (CT) demonstrated aortic dissection from the aortic arch to the bilateral common iliac arteries, but there was no evidence of dissection in the ascending aorta (Fig. 1A, B). A transesophageal echocardiography was performed and revealed a circu...

Ascending aortic dissection is often a catastrophic condition. Dissection into the commissures or into an aortic valve leaflet may lead to leaflet avulsion and valvular insufficiency due to a flail valve. We present an image report describing an important and life-threatening complication due to the movement of a partially dehisced intimal aortic flap into the left ventricle causing aortic valv...

Acute type-B aortic dissection is generally managed by administering medical treatment with an aim to achieve pain relief and hypertension control. Surgery is usually performed only in cases of type-B dissection complicated with limb ischemia, branch vessel compression or potential fatal aortic rupture. Herein, we report an extremely unusual case of type-B aortic dissection with partial involve...

When chronic aortic dissection (CAD) is associated with aortic dilatation, the risk of aortic rupture increases. We report a case of CAD complicated by acute aortitis that was depicted in contrast-enhanced magnetic resonance imaging (MRI). Contrast-enhanced MRI allows early detection of subtle changes in the aortic wall as well as disease activity. Inflammation of aortic wall in the aortic diss...