To cite: Lin S-H, Huang SH, Liao W-H. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200658 DESCRIPTION A 62-year-old man, a case of hypertension, presented with severe and progressive upper back pain for 1 day. Physical examinations were unremarkable, except for a high blood pressure (178/ 102 mm Hg). The haemogram and biochemistry were within normal limits....

PURPOSE To evaluate the usefulness of a new transfemoral device to avoid major complications related to residual type A aortic dissection following ascending aortic replacement. CASE REPORTS Three men (aged 60, 61, and 72 years, respectively) with a residual type A aortic dissection following replacement of the ascending aorta 1, 4, and 5 years prior, respectively, were treated with the Djumb...

An important goal of surgical repair of type A aortic dissection is to resect the intimal tear. Studies on the fate of residual dissection after acute type A aortic dissection repair in the past decade have driven surgeons to seek procedures to avoid distal reoperation. Aggressive surgical approach with total arch replacement in acute type A dissection has demonstrated lower incidence of distal...

Transoesophageal echocardiography (TOE), rapid sequence spiral computed tomography with intravenous contrast (CT), and magnetic resonance angiography (MRA) have become increasingly useful in the evaluation and diagnosis of acute dissection of the ascending aorta. These diagnostic modalities are fast, safe, non-invasive, and highly accurate, with sensitivity and specificity approaching 100%. 1 A...

Few studies have investigated fever secondary to underlying acute aortic dissection. A retrospective analysis of 59 patients was carried out. Diagnostic criteria for fever secondary to underlying aortic dissection were defined. Five patients had a clinical presentation consistent with inflammatory fever due to acute aortic dissection. The main features were: fever occurred within the first 48 h...

Aortic dissection may be fatal without early diagnosis and appropriate medical, surgical, or endovascular treatment. The presenting symptoms and signs are so myriad and nonspecific that dissection may be overlooked initially in up to 40% of cases. In addition, the diagnosis is established only postmortem in a substantial number of cases.1 Few other conditions demand such prompt diagnosis and tr...

Aortic dissection is a cardiovascular event of high mortality if not early diagnosed and properly treated. In Stanford type A aortic dissection, there is the involvement of the ascending aorta, whereas in type B the ascending aorta is not affected. The treatment of type A aortic dissection is mainly surgical. The hospital mortality of type B aortic dissection surgical treatment is approximately...

OBJECTIVES We sought to evaluate the clinical characteristics, management, and outcomes of elderly patients with acute type A aortic dissection. BACKGROUND Few data exist on the clinical manifestations and outcomes of acute type A aortic dissection in an elderly patient cohort. METHODS We categorized 550 patients with type A aortic dissection enrolled in the International Registry of Acute ...

Objectives: To compare the medical treatment of chronic type B aortic dissection with b-blockers versus other antihypertensive treatments in terms of their requirement for surgical intervention and treatment costs. Methods: Case records of the 130 patients treated for aortic dissection type B in this unit between 1988 and 1997 were reviewed. Seventy-eight of 130 patients with chronic dissection...