scholarly journals Obstetric Considerations in a Rare Cardiovascular Catastrophe Needing Multidisciplinary Care

2014 ◽  
Vol 2014 ◽  
pp. 1-2
Author(s):  
Neeta Singh ◽  
Debjyoti Karmakar ◽  
V. Devagorou ◽  
Rajnish Tiwari ◽  
Sunesh Kumar
Keyword(s):  
Aortic Dissection ◽  
Multidisciplinary Approach ◽  
Multidisciplinary Care ◽  
Type A ◽  
Successful Outcome ◽  
Type A Aortic Dissection ◽  
Aortic Dissections ◽  
In Pregnancy

Cardiovascular emergencies especially aortic dissections are rare in pregnancy. We report a case of Stanford Type A aortic dissection at 33 weeks of pregnancy presenting in shock. Rapid multidisciplinary approach and special obstetric considerations led to a successful outcome in this case.

scholarly journals Acute Type A Aortic Dissection in a 36-Week Pregnant Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Erol Kohli ◽  
Sharhabeel Jwayyed ◽  
Gary Giorgio ◽  
Mary Colleen Bhalla
Keyword(s):  
Aortic Dissection ◽  
Early Recognition ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Increased Risk ◽  
History Of ◽  
Aortic Dissections

Aortic dissection is a relatively rare yet often fatal condition. Early recognition and treatment are crucial for survival. While the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, and a family history of aortic dissection are also at an increased risk for developing this condition. A review of the literature revealed a paucity of published cases describing the successful, emergent repair of acute type A aortic dissections in third- trimester gravid patients. We present the case of the successful diagnosis and surgical repair of a 41-year-old female who presented to the emergency department with an acute type A aortic dissection at 36 weeks of gestation.

scholarly journals Stanford Type A Aortic Dissection in Pregnancy: A Diagnostic and Management Challenge

2013 ◽  
Vol 22 (1) ◽  
pp. 12-18 ◽  
Author(s):  
Stephanie L. Ch’ng ◽  
Andrew D. Cochrane ◽  
Jacob Goldstein ◽  
Julian A. Smith
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
Management Challenge ◽  
In Pregnancy

Acute Type A Aortic Dissection in Pregnancy—Diagnostic and Therapeutic Challenges in a Multidisciplinary Setting

2018 ◽  
Vol 32 (4) ◽  
pp. 1991-1997 ◽  
Author(s):  
Prakash A. Patel ◽  
Rohesh J. Fernando ◽  
Emily J. MacKay ◽  
Jeongae Yoon ◽  
Jacob T. Gutsche ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
In Pregnancy

Type A Aortic Dissection in Pregnancy

2013 ◽  
Vol 33 (1) ◽  
pp. 65
Author(s):  
C. Johnston ◽  
F. Schroeder ◽  
S.N. Fletcher ◽  
C. Bigham ◽  
R. Wendler
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
In Pregnancy

scholarly journals Hybrid Arch for Acute Type A Aortic Dissection: When to Deploy the Endograft? Debate: Frozen versus Staged?

Aorta ◽  
2018 ◽  
Vol 06 (05) ◽  
pp. 109-112
Author(s):  
Jehangir Appoo ◽  
Akash Fichadiya ◽  
Holly Smith ◽  
Vamshi Kotha ◽  
Eric Herget ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Endovascular Techniques ◽  
Descending Aorta ◽  
Type A Aortic Dissection ◽  
Stent Grafting ◽  
Pros And Cons ◽  
Aortic Dissections ◽  
Open Arch

AbstractAdvances in open and endovascular techniques have resulted in novel approaches to repair of acute Type A aortic dissection. Hybrid arch procedures involve open arch resection and stent grafting of the descending aorta with stent graft insertion in one of two ways: Frozen or Staged. In this article, pros and cons of the two different paradigms of emerging hybrid arch techniques for acute Type A aortic dissections are discussed.

Type A aortic dissection in pregnancy

2012 ◽  
Vol 21 (1) ◽  
pp. 75-79 ◽  
Author(s):  
C. Johnston ◽  
F. Schroeder ◽  
S.N. Fletcher ◽  
C. Bigham ◽  
R. Wendler
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
In Pregnancy

scholarly journals Medical Management of Three Patients with an Acute Type A Aortic Dissection: Case Series and a Review of the Literature

Aorta ◽  
2018 ◽  
Vol 06 (04) ◽  
pp. 098-101
Author(s):  
Khaled Salhab ◽  
William Gioia ◽  
Andrew Rabenstein ◽  
George Gubernikoff ◽  
Scott Schubach
Keyword(s):  
Aortic Dissection ◽  
Medical Management ◽  
Case Series ◽  
Type A ◽  
Acute Type ◽  
Review Of The Literature ◽  
Type A Aortic Dissection ◽  
Surgery First ◽  
Aortic Dissections

AbstractThe model of surgery first and always for Type A aortic dissections has continued to evolve. During the last three decades, various studies have demonstrated that in select patients, surgery should be delayed or avoided. This case series examines three cases in which patients were medically treated. Furthermore, we review the literature and when surgery should be delayed for acute Type A aortic dissections.

Anastomotic leak after surgical repair of type A aortic dissection – prevalence and consequences in midterm follow-up

VASA ◽  
2017 ◽  
Vol 46 (5) ◽  
pp. 377-382 ◽  
Author(s):  
Tamer Ghazy ◽  
Adrian Mahlmann ◽  
Zuzana Fajfrova ◽  
Ayham Darwish ◽  
Mohamed Eraqi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Redo Surgery ◽  
Anastomotic Leaks ◽  
Type A Aortic Dissection ◽  
Therapeutic Consequences ◽  
Independent Risk Factors ◽  
Aortic Dissections

Abstract. Background: This study reports the mid-term prevalence and therapeutic consequences of anastomotic leaks after surgery for Stanford type A aortic dissections. Patients and methods: From July 2007 to July 2013, 93 patients survived surgery for acute type A dissections at our center and underwent a standardized follow-up. The pre-, peri-, and postoperative as well as the midterm results were collected prospectively. Follow-up computed tomography (CT) imaging was performed 7 days, 3, and 12 months after surgery, and yearly thereafter, to assess the presence or progression of anastomotic leaks at the aorto-prosthesis anastomotic sites. Results: The mean follow-up was 4 years (1534 ± 724 days). Follow-up CT revealed anastomotic leaks in 4 patients (4.3 %). All leaks developed during midterm follow-up and half of them did not increase with time. Two patients required redo surgery for an increase in periaortic extravasation and compression of neighboring structures. Further analysis was not able to reveal independent risk factors for development or deterioration of leaks. Conclusions: Anastomotic leaks after surgery for Stanford Type A aortic dissection can develop in midterm follow-up, even after initially excellent results. Meticulous follow-up is mandatory to detect possible deterioration and a need for redo surgery.

scholarly journals Type A Aortic Dissection in Pregnancy: Two Operations Yielding Five Healthy Patients

Aorta ◽  
2014 ◽  
Vol 2 (3) ◽  
pp. 113-115 ◽  
Author(s):  
Thomas H. Jovic ◽  
Tariq Aboelmagd ◽  
Ganesh Ramalingham ◽  
Nicola Jones ◽  
Samer A. M. Nashef
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
In Pregnancy

scholarly journals Type a Aortic Dissection Presenting with Acute Lower Extremity Vascular Insufficiency in the Absence of Chest Pain

2012 ◽  
Vol 5 ◽  
pp. OJCS.S8042
Author(s):  
Thomas J. Earl ◽  
Athena Poppas
Keyword(s):  
Chest Pain ◽  
Aortic Dissection ◽  
Lower Extremity ◽  
Type A ◽  
Type A Aortic Dissection ◽  
Non Invasive ◽  
Left Lower Extremity ◽  
Vascular Insufficiency ◽  
History Of ◽  
Aortic Dissections

We report a case of a 53 year-old man with a history of hypertension presenting with acute left lower extremity parasthesias and pulselessness initially presumed to be secondary to arterial thrombosis or embolism. Work-up included a transthoracic echocardiogram which revealed an aortic dissection at the level of the aortic root extending to the visualized portions of the descending aorta. Type A aortic dissections are relatively rare, with the vast majority of patients presenting with chest pain. Timely diagnosis of Type A aortic dissections are critical as to facilitate rapid surgical repair. To our knowledge, this is the first report of a painless Type A aortic dissection presenting with isolated lower extremity vascular insufficiency and demonstrates the potential role of transthoracic echocardiography as a rapid, non-invasive bedside modality in visualizing Type A aortic dissections.

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