conclusions with the increase in interventional procedures in cardiology, iatrogenic pathology of the aorta is seen more frequently, and every cardiologist should know how to diagnose and treat this group of diseases. evidence acquisition our search strategy involved an investigation in the pubmed database for every available article in peer reviewed journals between 1975 and 2015, for subjects...

Acute type A aortic dissection is a deadly disease with significant morbidity and mortality. We describe the differential aspects of the disease and the North American experience with its treatment.

A 66-year-old woman with hypertension and systemic lupus erythematosus presented with intermittent interscapular and chest pain, progressive dyspnea and presyncope episodes since the previous week. On physical examination she was hemodynamically stable, but jugular venous distension and diminished cardiac sounds were detected. Transthoracic echocardiography showed a pseudoaneurysm of the ascend...

aortic dissection begins with the formation of a tear in the aortic intima, and it directly exposes an underlying diseased medial layer to the driving force of the intraluminal blood. this blood penetrates the diseased medial layer and cleaves the media longitudinally, thereby dissecting the aortic wall. herein, we report the case of a 38-year-old woman, who presented with chest pain and dyspne...

OBJECTIVES This study was designed to define the frequency and explanation of false negative diagnosis of aortic dissection by aortography and transesophageal echocardiography. BACKGROUND Aortography and transesophageal echocardiography have been widely utilized to diagnose aortic dissection. Previous reports have not fully addressed the reasons why these studies yield false negative results ...

BACKGROUND Type I aortic dissection develops in 0.6% of patients late after aortic valve replacement (AVR), and 13% of patients with type I aortic dissections have a history of AVR. Predictors of aortic dissection at AVR, however, have not been characterized. METHODS AND RESULTS A study group of 33 patients with type I aortic dissection had aortic surgery 49+/-55 months after routine AVR. A g...

Background—Girls and women with Turner syndrome are at risk for aortic dissection and rupture. However, the size of the aorta and the clinical characteristics among those with Turner syndrome and dissection have received little attention. Methods and Results—We obtained medical records from 20 individuals who voluntarily participated in the International Turner Syndrome Aortic Dissection Regist...

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...

T he list of long-term complications after surgical intervention for acute type A aortic dissection includes recurrent dissection, aneurysm formation, and aortic valve regurgitation. Ten years after the initial operation for acute type A dissection, the reoperation rate for these kinds of long-term complications is 13% to 30% in the literature.1 The diseased aortic root in these patients is com...

Brain stroke connected with aortic blood flow disturbances is a rare disease and its incidence is difficult to assume. Nevertheless, 10-50% of patients with aortic dissection may not experience any pain. In case of 18-30% patients with aortic dissection neurological signs are first disease presentation and among them ischemic stroke is the most common. The most popular aortic dissection classif...