showed pulmonary congestion and transthoracic echocardiography showed aortic valve regurgitation without ascending aortic dissection. Computed tomography (CT) demonstrated aortic dissection from the aortic arch to the bilateral common iliac arteries, but there was no evidence of dissection in the ascending aorta (Fig. 1A, B). A transesophageal echocardiography was performed and revealed a circu...

Acute aortic dissection is a life-threatening condition requiring immediate assessment and therapy. Rarely, aortic dissection involves carotid arteries and manifest cerebral infarction. Here, we report a case of aortic dissection complicated with fatal cerebral infarction. A 83-year-old man, who suddenly suffered consciousness disturbance and right hemiparesis, was transferred to our hospital f...

BACKGROUND Aortic dissection is an age-related and lethal vascular disease. Aging, which is associated with degeneration, is the major risk factor of aortic dissection. Telomeres are specialized DNA structures located at the end of eukaryotic chromosomes, the telomere length could be considered as an index of vascular aging. The purpose of present study was undertaken to investigate the relatio...

Aortic dissection is a longitudinal cleavage of the aortic media created by a dissecting column of blood. The term “dissecting aortic aneurysm” has been inaccurately applied to this entity since 1819, when Laënnec first used the term aneurysme dissequant. The term aortic dissection is preferred to dissecting aortic aneurysm because the affected aorta is only rarely aneurysmal. In 1955, DeBakey ...

BACKGROUND The value of transesophageal echocardiography in the assessment of patients with aortic dissection was studied. METHODS AND RESULTS Group 1 (34 patients) represented all patients studied at our institution with this technique in whom aortic dissection was proven by aortography, surgery, or autopsy. Group 2 (27 patients) represented all patients studied with this technique at our in...

Introduction: Iatrogenic aortocoronary dissection (ACD) is a nightmare in interventional cardiology. Although ACD is rarely reported, the real-world prevalence is suspected of being higher due to unreported cases. The right coronary artery (RCA) ostium is involved in the majority of cases, and dissections are usually limited to the aortic sinus in half of the clinical presentat...

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...

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...

Fibrin degradation products (FDP) and D-dimer have been considered to be involved in many vascular diseases. In this study we aimed to explore the diagnostic implication of FDP and D-dimer in aortic dissection patients. 202 aortic dissection patients were collected as the case group, 150 patients with other cardiovascular diseases, including myocardial infarction (MI, n = 45), pulmonary infarct...

We report a unique case of primary aortic malignant fibrous histiocytoma presenting clinically as aortic dissection. To our knowledge, this occurrence is the first ever reported. The magnetic resonance imaging technique may provide superiority in the differential diagnosis between tumor and hematoma of aortic dissection. Aortic tumor, although rare, should be included among the causes of aortic...