Acute aortic dissection, an emergent vascular catastrophe, varies in its clinical presentation and embraces a high mortality rate if not recognized early. Here we report a 32-year-old man who presented to our emergency department (ED) because of lower-back pain shortly before orgasm, and was subsequently found to have retrograde acute type B aortic dissection. This young man was diagnosed and t...

OBJECTIVES Impact on survival of different treatment strategies was analyzed in 571 patients with acute type B aortic dissection enrolled from 1996 to 2005 in the International Registry of Acute Aortic Dissection. BACKGROUND The optimal treatment for acute type B dissection is still a matter of debate. METHODS Information on 290 clinical variables were compared, including demographics; medi...

OBJECTIVES This study aimed to investigate whether the entry site of acute type B aortic dissection affects late outcomes. METHODS Inpatient and outpatient records were retrospectively reviewed. RESULTS We identified 224 cases of acute type B aortic dissection between 1998 and 2013. Of these 224 patients, 168 were men and the age was 64.2 ± 12.6 (range 23-94) years, from which 130 presented...

STUDY OBJECTIVE The purpose of the present study was to establish the accuracy of transthoracic echocardiography (TTE) in diagnosis of acute type A aortic dissection in comparison to computed tomography (CT), with reference to the intraoperative image. METHODS The retrospective analysis included 178 patients referred to the cardiac surgery unit in our center due to acute type A dissection bet...

plasmose generalisse avec localisation laryngee et endocaroite. An acute aortic dissection with rupture in the descending aorta led to suffusion of blood into the soft tissue of the neck with sufficient pressure to cause not only superior vena cava obstruction, but also trachea! obstruction. RA = right atrium; LA = left atrium; PA = pulmonary artery; Th = thrombus. Airtic dissection results fro...

Aortic dissection is the most catastrophic clinical condition that involves the aorta. It has a high mortality as well as high rate of misdiagnosis due to frequent unusual presentation. Typically, it presents with acute chest, back, and tearing abdominal pain. However, it can present atypically with minimal or no pain, making diagnosis difficult. Physicians should always suspect acute aortic di...

We describe surgical treatment for a patient with chronic thromboembolic pulmonary hypertension who developed acute type A aortic dissection. Acute aortic dissection is a life-threatening disease and must be operated emergently, and chronic thromboembolic pulmonary hypertension can be treated only by pulmonary endarterectomy. We performed a staged procedure consisting of hemiarch replacement wi...

OBJECTIVES The purpose of this study was to evaluate the clinical outcomes of emergency surgery for acute type B aortic dissection with rupture and to compare results between open surgery and thoracic endovascular aortic repair (TEVAR). METHODS Two hundred and ninety-four patients with acute type B aortic dissection were admitted to our hospital between January 2000 and March 2012. At present...

A 79-year-old hypertensive man with chronic type B aortic dissection (TBAD) came acute chest pain. CT revealed partially thrombosed aneurysmal dilatation of false lumen, compressing trachea and oesophagus (chronic complicated TBAD) the extremely tortuous descending thoracic aorta ([figures

BACKGROUND Acute chest pain represents a common presentation at emergency department. Aortic dissection in young patients, however, is fortunately rare. METHODS We report a case of giant ascending aortic aneurysm with Stanford type A aortic dissection in an otherwise well 22-year-old male patient. Operative aortic valve and root replacement was undertaken with favourable outcome. RESULTS Hi...