OBJECTIVES The diagnostic performance of transthoracic focused cardiac ultrasound (FoCUS) performed by emergency physicians (EP) to estimate ascending aorta dimensions in the acute setting has not been prospectively studied. The diagnostic accuracy and the interobserver variability of EP-performed FoCUS were investigated to estimate thoracic aortic dilation and aneurysm compared with the result...

OBJECTIVE We modified the conventional aortic arch replacement procedure to avoid circulation arrest and a prolonged extracorporeal circulation time, especially in cases of acute aortic dissection. We herein present our experience with a modified branch-first approach to acute aortic dissection, with anastomosis of the supra aortic vessels prior to commencing cardiopulmonary bypass. METHODS S...

introduction melioidosis is a rapidly fatal infectious disease caused by burkholderia pseudomallei, an agent of potential biothreat, endemic in several parts of india. most melioidosis-induced infected aneurysms are located in the abdominal or thoracic aorta. case presentation we reported two unusual cases of melioidosis resulting in pseudoaneurysm of the descending thoracic aorta. in both case...

T WO UNUSUAL features have prompted us to report the following case of dissecting aneurysm of the aorta. The x-ray shadow of the aneurysm was interpreted as due to a paramediastinal effusion in a patient with known pulmonary tuberculosis. An attempted aspiration led to perforation through the dissection into the lumen of the aorta which resulted in a fatal cardiac tamponade. At necropsy the aor...

T WO UNUSUAL features have prompted us to report the following case of dissecting aneurysm of the aorta. The x-ray shadow of the aneurysm was interpreted as due to a paramediastinal effusion in a patient with known pulmonary tuberculosis. An attempted aspiration led to perforation through the dissection into the lumen of the aorta which resulted in a fatal cardiac tamponade. At necropsy the aor...

DISSECTING aneurysm of the aorta has long been recognized as a disease entity, and is ordinarily regarded as a rapidly fatal condition. A certain proportion of dissecting aneurysms redissect into the lumen of the aorta, forming the so-called "double-barreled" aorta. Occasional cases of dissecting aneurysm have survived for a considerable period after the acute episode, many of them being of the...

A case of aneurysm of the main stem of the left coronary artery associated with aortic insufficiency and an aneurysm of the ascending aorta is reported. The importance of coronary angiography in diagnosing this condition is illustrated. Surgical repair included isolation of the coronary aneurysm and replacement of the ascending aorta and aortic valve, combined with triple aortocoronary saphenou...

Spontaneous dissecting aneurysm of the aorta in man is most commonly a sequel of hypertension but sometimes occurs in association with degenerative liquefaction of the media of the aorta. New light has been thrown upon dissecting aneurysm by its production in growing rats by a diet high in sweet peas. The offending agent has been isolated and a number of simpler related compounds have been synt...