An acute aortic syndrome with simultaneous presence of a penetrating aortic ulcer, an intramural haematoma, a thoracic aortic dissection and an abdominal aortic aneurysm rupture has not previously been reported. Herein, we describe our experience with a patient treated by ...

Acute dissection of the aorta can be one of the most dramatic cardiovascular emergencies. Classically, aortic dissection presents as sudden, severe chest, back, or abdominal pain that is characterised as ripping or tearing in nature. However, a timely diagnosis can be elusive in the event of an atypical ...

Patients with aneurysmal dissections involving both the thoracic and the abdominal aorta are particularly challenging to treat with endovascular techniques because of the natural communications at the level of the visceral arteries. We present the case of a patient with Marfan syndrome with an aneurysmal aortic ...

Aortic dissections that originate from isolated tears in the abdominal aorta are uncommon. Rarer still are cases of isolated abdominal aortic dissections arising in suprarenal locations, as most appear from infrarenal intimal defects. We present a quite unusual case of a ...

Acute aortic dissection can occur at the time of intense physical exertion in strength-trained athletes like weightlifters, bodybuilders, throwers, and wrestlers.Rapid rise in blood pressure and history of hypertension are the most common causes of aortic dissection in athletes. It is a very tragic event because of ...

Isolated spontaneous dissection of celiac trunk is a rare entity. The spontaneous dissection of the visceral artery occurs without aortic dissection. The most consistent presenting symptom is acute onset abdominal pain. Complications consist of ischemia, aneurysm formation, and rupture. We ...

We describe a patient with aortic occlusion due to false-lumen expansion after repair of abdominal aortic rupture in acute type B aortic dissection. A 70-year-old man presented to a nearby hospital with severe lower back pain, and was subsequently referred to our hospital with a diagnosis of ...

Spontaneous abdominal aortic dissection (AAD) with retrograde thoracic extension is an extremely rare occurrence with a high mortality. Abdominal aortic dissection can be associated with an abdominal aortic aneurysm (AAA) and the ...

Abdominal aortic aneurysm involves a widening, stretching, or ballooning of the aorta. There are several causes of abdominal aortic aneurysm, ...

A 93-year-old patient with a cardiac pacemaker and biochemical renal failure presented with back pain suspicious for dissection. We performed gadolinium-enhanced thoracoabdominal multidetector CT angiography using eight-channel multidetector CT. Uniform aortic enhancement of 140 HU was sufficient to exclude aortic ...

... may be used to screen for an abdominal aortic aneurysm. An abdominal aortic aneurysm is a weakened, bulging spot in your abdominal ... An abdominal ultrasound to screen for an abdominal aortic aneurysm is recommended for men ...

Pseudoaneurysms of the ascending aorta after the original inclusion/wrap technique of the Bentall procedure present a difficult surgical management problem and are associated with substantial morbidity and mortality. Patients with Marfan syndrome frequently develop aneurysms and dissections that involve multiple aortic segments. We present the case of a ...

Purpose: In the case of an acute aortic dissection, a surgical aortic procedure is usually the priority in order to restore the perfusion of vital organs. Afterwards, associated ischemic abdominal visceral lesions can be resected. For particular patients, it could be highly beneficial to perform the ...

After developing sudden severe chest pain, an 11-year-old boy presented to the emergency room with chest pain and palpitations and was unable to stand up. The sudden onset of chest pain was first reported while swimming at school about 30 minutes prior to presentation. Arterial blood pressure (BP) was 150/90 mmHg, heart rate was 120/minute, and the chest pain was combined with shortness of breath ...

The most common treatment of acute type A aortic dissection is immediate surgical repair. However, early surgery for acute dissections with peripheral vascular compromise carries a high mortality rate. Herein, we report a case in which we placed percutaneous endovascular stents in a type A dissection patient before ...

The differential diagnosis of aortic emergencies includes abdominal aortic aneurysms and aortic dissection. Aortic occlusion is another rare yet deadly vascular emergency to be wary of. For acute occlusions, definitive management by embolectomy or aortofemoral bypass must ...

Coronary arteriosclerosis seriously complicates the surgical treatment of aortic diseases. The aim of our retrospective study was to determine the incidence of coronary artery disease among our surgical patients in treatment for aortic dissection or aneurysm, and to determine whether coronary intervention before ...

Emergency physicians (EPs) are commonly faced with life-threatening entities. Particularly challenging are the aortic catastrophes, such as penetrating aortic ulcers (PAUs), intramural hematomas (IMHs), and atypical presentations of acute aortic dissections and ruptured abdominal ...

We investigated the usefulness of single shot gradient echo type echo planar imaging (GRE-EPI) as magnetic resonance angiography (MRA) for the diagnosis of aortic aneurysm and dissection. This technique can detect blood flow signals in several tenths of a milliseconds without the need for contrast medium, breath-holding, or electrocardiographic (ECG) ...

Abdominal aortic aneurysms occasionally occur concomitantly with an intracranial artery aneurysm (ICA). The association of an ICA with a thoracoabdominal aortic aneurysm (TAAA) is relatively rare. A patient with this condition is presented. Coiling of the ICA was not an option preoperatively because of the ...

... cm were present in the thoracic and abdominal aorta extending below the bifurcation of the renal arteries. ... were diffusely emphysematous, mottled, and wet. The thoracic aorta was dilated at the level o...

BACKGROUND: Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ...

We report a patient affected by complicated retrograde type A aortic dissection (DeBakey type I) with false lumen rupture and acute right lower limb ischemia treated with fenestration at the aortic bifurcation followed by a hybrid approach, consisting of an elephant trunk procedure and the placement of endoluminal stent graft for the ...

INTRODUCTION:A case of thoracic-abdominal dissection after open surgical exclusion of an infrarenal aortic aneurysm is presented.CASE PRESENTATION:A 62-year-old woman was diagnosed with an infrarenal abdominal aortic aneurysm with a rapid increase in maximal diameter. She underwent surgery for ...

Non-traumatic intracranial dissecting aneurysm (IDA) has been recently reported with increasing frequency and is recognized as a possible cause of subarachnoid hemorrhage. However, the pathogenesis of this disease is still unclear. Cystic medial necrosis (CMN) is known to be a cause of aortic dissection, especially in Marfan's ...

The faster scanning speed of 256-slice computed tomographic scanners has enabled electrocardiographic-gated imaging of the entire thoraco-abdominal aorta in several seconds. Electrocardiographic-gated acquisition allows for image reconstruction in any desired phase of the cardiac cycle, as well as dynamic assessment by looping the different reconstruction phases. We describe ...

OBJECTIVE: Published reports of robotic-assisted aortic surgery involve a combination of laparoscopy for aortic dissection and a robotic system for vascular reconstruction. The objective of this study is to determine the feasibility and advantage of a total robotic-assisted aortic dissection ...

A 37-year-old man was referred with thoracic pain after a deceleration trauma. He also had a cerebral contusion and a wrist fracture. There were no sings of hypovolemic shock. Computerized tomography (CT) of the chest and transoesophageal echocardiography (TEE) demonstrated a type B aortic dissection originating just distal to the left subclavian artery. ...

We implanted stents in three patients who had traumatic abdominal aortic dissections, complicated by right limb ischemia in one case. The circulating false channel extended to the left iliac artery in one case and to both iliac arteries in the last case. Diagnosis and radiological follow-up included ultrasound, computed tomography, and ...

This report describes the fifth instance of successful surgical management of a false aneurysm of the abdominal aorta following penetrating injury (a stab wound). The aortic opening of the aneurysm was located at the level of the left renal artery. The importance of direct and quick transluminal repair to avoid hazardous dissection in ...

Fourteen patients with a variety of aortic diseases were evaluated with magnetic resonance imaging (MRI). These included abdominal aortic aneurysms (eight cases), aortoiliac aneurysm (one), thoracoabdominal aneurysm (one), aortic dissections (four), and Takayasu arteritis (one). The size and ...

Intraluminal thrombus (ILT) is known to influence the natural history of abdominal aortic aneurysms, and its effect on the arterial wall may predict the risks of rupture. The main features of ILT believed to be associated with aneurysm growth and increased rupture risk are size; presence of fissures, dissections, or calcifications in ...

We report a case of combined colon cancer and Clostridium septicum aortitis involving the suprarenal abdominal aorta with rupture. An 82-year-old male presented with fever, abdominal pain, and back pain associated with constipation. He was successfully treated by in situ aortic graft placement with polytetrafluroethylene and ...

We present a patient with Ehlers-Danlos syndrome type IV (EDS IV) with a carotid dissecting pseudoaneurysm causing severe carotid stenosis. This lesion was treated endovascularly. Unfortunately, the patient died of remote vascular catastrophes (intracranial hemorrhage and abdominal aortic rupture). This unique case illustrates the ...

Gallium concentration was demonstrated in a dissecting aneurysm of the aortic arch, imaged approximately 2 weeks after dissection. Concentration of gallium was apparently due to the inflammatory reaction associated with the organizing intramural hematoma.

Accumulating data suggest that activity of matrix metalloproteinases (MMPs) is increased in aortic dissection, and in thoracic and abdominal aneurysms. In the present study we sought to determine circulating stromelysin (MMP-3) concentration and its relationship with hypertension-induced aortic root dilatation. The ...

Acute aortic dissection is a life-threatening condition associated with high morbidity and mortality. In this article, the authors review basic biology of the aorta and aortic dissection, epidemiology, clinical presentation, diagnostic approach, emergency stabilization measures, and the latest surgical approach for ...

... Aortic Aneurysm Reference Summary Introduction Ballooning of the aorta, also known as an "abdominal aortic aneurysm," can ... the benefits and risks of this surgery. Anatomy Aorta Common Illiac Arteries The heart pumps blood into ...

... Cancer Screenings Preventive Service Checklist Smoking Cessation Abdominal Aortic Aneurysm (AAA) Screenings How often is it covered? Medicare covers ... screening ultrasound if the doctor accepts assignment. Abdominal Aortic Aneurysm Resources Society of Thoracic Surgeons- Patient Information: ...

PURPOSE: This study was designed to demonstrate the applicability of a combined needle-based re-entry catheter and "cheese-wire" technique for fenestration of abdominal aortic dissection membranes. METHODS: Four male patients (mean age: 65�years) with acute complicated aortic type B ...

Two patients with dissecting (n = 1) and saccular (n = 1) aneurysms of the infrarenal abdominal aorta with very narrow proximal and distal aortic necks underwent treatment with percutaneous implantation of self-expandable polytetrafluoroethylene (PTFE)-covered nitinol stent-grafts on an off-label basis. The stent-grafts had maximum ...

After the acute phase, if patient survives, the disease is still present. Chronic stage is defined as the period after the first month following the acute phase. Follow-up of the thoracic aorta is mandatory and even at the abdominal level to check the risk of rupture. In case of aortic dissection, late complications such as chronic ...

INTRODUCTIONAs neuroblastomas usually envelope major vessels, excision poses a significant technical problem.PATIENTS AND METHODSOver a 22-year period, 234 infants and children have undergone attempted surgical excision of abdominal or pelvic neuroblastomas using a consistent surgical approach. This entails a systematic dissection of the involved vessels ...

Talk to Your Doctor about Abdominal Aortic Aneurysm The Basics If you are a man age 65 to 75 and have ever smoked, talk with your doctor about abdominal aortic ...

... skeletal findings No (TGFBR 1/2 mutation) Familial Aortic Aneurysm Aortic enlargement and dissection. Variable skeletal findings Generally ...

Purpose: To evaluate the feasibility of endoluminal stent-grafts in the treatment of acute type B aortic dissections.Methods: In five patients with acute aortic type B dissections, sealing of the primary intimal tear with an endoluminal stent-graft was attempted. Indication for treatment was aneurysm formation in ...

... stent replacement - peripheral arteries ) Renal artery stenosis Abdominal aortic aneurysm ( aortic aneurysm repair - endovascular ) Carotid artery disease ( carotid ...

Angiography - aorta; Aortography; Abdominal aorta angiogram; Aortic arteriogram ... needle. The catheter is carefully moved into the aorta. The doctor can see live images of the ...

We report a case of treating complex aortic pathology with the use of the Frozen Elephant Trunk technique in a patient with chronic type B aortic dissecting aneurysm associated with arch and ascending aorta dilatation, proximal aortic disease and coronary disease. The case was further complicated due to the ...

The diagnostic role of Magnetic Resonance Angiography (MRA) was investigated in the study of the thoracic and abdominal aorta. Thirty-two patients with different conditions were examined: the thoracic aorta was affected in 7 cases (3 aneurysms, 2 dissections, 2 tumors) and the abdominal aorta in 25 cases (21 aneurysms, 3 stenoses and 1 ...

... the wall of an artery -- occur in the aorta. The aorta is the main artery that carries blood from ... aortic aneurysms occur in the part of the aorta running through the chest. Abdominal aortic aneurysms occur ...

Acute aortic dissection and associated aortic catastrophes are among the most devastating forms of cardiovascular disease, with a remarkably high morbidity and mortality despite current medical and surgical treatment. The mechanics underlying aortic dissection are incompletely understood, and a ...

Acute aortic syndrome are significantly involved in "sudden death" and in-hospital mortality remains high close to 30%, survivors are lifelong at risk for remaining aorta complication such as thoraco-abdominal aneurysm or new aorta dissection or aortic rupture. Classifications are useful tools to determine ...