The coexistence of obstructive sleep apnea (OSA) may impose an additional risk on aortic dissection due to the possible increase in aortic transmural pressure. Thus, effective treatment for OSA, such as noninvasive positive pressure ventilation (NPPV), is thought to decrease the risk in patients with aortic dissection. We experienced one case of an OSA patient with aortic dissection who was suc...

We describe a case of 70 years old female patient in whom an initial diagnosis acute coronary syndrome (ACS) revealed to be finally aortic dissection. This report emphasizes the importance maintain high grade suspicion dissection as possible alternative presence electrocardiographic myocardial ischemic changes. In many medical centers where thrombolytic therapy, antiplatelet receptor blockers, ...

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OBJECTIVE Report initial experience with the Frozen Elephant Trunk technique. METHODS From July 2009 to October 2013, Frozen Elephant Trunk technique was performed in 21 patients (66% male, mean age 56 ± 11 years). They had type A aortic dissection (acute 9.6%, chronic 57.3%), type B (14.3%, all chronic) and complex aneurysms (19%). It was 9.5% of reoperations and 38% of associated procedures...

OBJECTIVES The extent of visceral malperfusion due to acute type A aortic dissection remains difficult to assess in view of the clinical signs that typically present at a late stage. We suspected that visceral malperfusion can persist after proximal aortic graft replacement despite redirecting blood flow into the true lumen. We therefore evaluated the operative outcomes of visceral malperfusion...

Acute aortic dissection is a medical emergency. Without prompt recognition and treatment, the mortality rate is high. An atypical presentation makes timely diagnosis difficult, especially if the patient is experiencing no characteristic pain. Many patients with aortic dissection are reported to have presented with various neurologic manifestations, but none with only a presentation of transient...

BACKGROUND Clinical profiles and outcomes of patients with acute type B aortic dissection have not been evaluated in the current era. METHODS AND RESULTS Accordingly, we analyzed 384 patients (65+/-13 years, males 71%) with acute type B aortic dissection enrolled in the International Registry of Acute Aortic Dissection (IRAD). A majority of patients had hypertension and presented with acute c...

BACKGROUND Acute descending thoracic aortic dissection is a life-threatening emergency. It is not often considered as the initial diagnosis in patients presenting with epigastric pain and could easily be missed in a busy casualty department. AIM This case report is aimed to highlight the feasibility of the technique and the need for long-term surveillance following endovascular repair of acut...

A ortic intramural hematoma (IMH) is an acute aortic disease, defined by the presence of hemorrhage within the aortic wall, and no evidence of intimal tear. The penetrating aortic ulcer (PAU) is a chronic aortic condition, defined by an ulcer-like disruption of the intima maturing within the aortic lumen. IMH usually presents with a smooth intima and some degree of atherosclerosis, whereas PAU ...

BACKGROUND Medical therapy gives excellent short-term outcomes for patients with Stanford type B acute aortic dissection. However, the affected aorta is often compromised by aneurysmal dilatation and rupture, resulting in poor long-term outcome. The present study investigated which antihypertensive treatment may prevent long-term aortic events in these patients. METHODS AND RESULTS The study ...