scholarly journals Spontaneous Aortic Dissecting Hematoma in Two Dogs

2005 ◽  
Vol 17 (5) ◽  
pp. 492-497 ◽  
Author(s):  
Theresa Marie Boulineau ◽  
Lydia Andrews-Jones ◽  
William Van Alstine
Keyword(s):  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Pericardial Tamponade ◽  
Ascending Aorta ◽  
Thoracic Cavity ◽  
Mediastinal Hematoma ◽  
Intimal Proliferation ◽  
First Case ◽  
History Of ◽  
Gross Lesions

This report describes 2 cases of spontaneous aortic dissecting hematoma in young Border Collie and Border Collie crossbred dogs. Histology was performed in one of the cases involving an unusual splitting of the elastin present within the wall of the aorta, consistent with elastin dysplasia as described in Marfan syndrome in humans. The first case involved a young purebred Border Collie that died suddenly and the second case involved a Border Collie crossbred dog that died after a 1-month history of seizures. Gross lesions included pericardial tamponade with dissection of the ascending aorta in the former case and thoracic cavity hemorrhage, mediastinal hematoma, and aortic dissection in the latter. Histologic lesions in the case of the Border Collie crossbred dog included a dissecting hematoma of the ascending aorta with elastin dysplasia and right axillary arterial intimal proliferation.

Two Surgical Cases of Acute Aortic Dissection in Pregnancy with Marfan Syndrome

2007 ◽  
Vol 15 (5) ◽  
pp. e63-e65 ◽  
Author(s):  
Hidetaka Wakiyama ◽  
Michihiro Nasu ◽  
Hiroshi Fujiwara ◽  
Aki Kitamura ◽  
Yukikatsu Okada
Keyword(s):  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Acute Aortic Dissection ◽  
Deep Hypothermia ◽  
Aortic Root Replacement ◽  
The Other ◽  
Normal Delivery ◽  
First Case ◽  
Type A Dissection ◽  
In Pregnancy

We describe 2 surgical cases of acute aortic type A dissection during pregnancy in women with Marfan syndrome. Both of them underwent emergency aortic root replacement under deep hypothermia; one patient was in her 21st week of pregnancy and the other was treated 1 day after a normal delivery. The patients experienced fair postoperative courses, but intrauterine fetus death was confirmed in the first case.

scholarly journals Concurrent lymphosarcoma and Salmonella enteritidis infection in a cat: a case report

2009 ◽  
Vol 54 (No. 9) ◽  
pp. 451-454 ◽  
Author(s):  
M.I. Bhaiyat ◽  
H. Hariharan ◽  
A. Chikweto ◽  
E. Brathwaite-Sylvester ◽  
P.J.A. Burnett ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Salmonella Enteritidis ◽  
Thoracic Cavity ◽  
Palpable Mass ◽  
Mesenteric Mass ◽  
History Of ◽  
Gross Lesions ◽  
The Masses ◽  
Susceptibility Patterns

Concurrent lymphosarcoma and salmonellosis in a 12-year-old female neutered domestic shorthair cat in Grenada is described. Clinically, the cat was emaciated, and had a history of vomiting and diarrhea of two months duration. Clinical examination revealed a large palpable mass in the craniodorsal abdomen and fluid in the thoracic cavity. Gross lesions consisted of moderate pyothorax and pyoabdomen with variably-sized, single to multiple, soft, white masses in the mesentery adjacent to the pancreas, on the serosal surface of the stomach, and on the quadrate lobe of the liver. Histopathological findings associated with these masses were compatible with lymphosarcoma. Sheets of neoplastic round cells, some with intracytoplasmic eosinophilic granules, were found in the masses associated with the omentum, stomach, and liver. <i>Salmonella enteritidis</i> was isolated in pure culture from the thoracic fluid, collected during clinical examination, and mesenteric mass, collected during necropsy, and both isolates showed similar antimicrobial susceptibility patterns.

Fatal Aortic Dissection in a Patient With a Family History of Marfan Syndrome

2008 ◽  
Vol 112 (2, Part 2) ◽  
pp. 472-475 ◽  
Author(s):  
Meredith L. Birsner ◽  
John L. Farber ◽  
Vincenzo Berghella
Keyword(s):  
Family History ◽  
Aortic Dissection ◽  
Marfan Syndrome ◽  
History Of

scholarly journals Familial Thoracic Aortic Aneurysm with Dissection Presenting as Flash Pulmonary Edema in a 26-Year-Old Man

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Sabry Omar ◽  
Tyler Moore ◽  
Drew Payne ◽  
Parastoo Momeni ◽  
Zachary Mulkey ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Dissection ◽  
Thoracic Aortic Aneurysm ◽  
Ascending Aorta ◽  
Screening Methods ◽  
Significant Past Medical History ◽  
Iliac Arteries ◽  
Aortic Aneurysm And Dissection ◽  
History Of ◽  
Chest X Ray

We are reporting a case of familial thoracic aortic aneurysm and dissection in a 26-year-old man with no significant past medical history and a family history of dissecting aortic aneurysm in his mother at the age of 40. The patient presented with cough, shortness of breath, and chest pain. Chest X-ray showed bilateral pulmonary infiltrates. CT scan of the chest showed a dissection of the ascending aorta. The patient underwent aortic dissection repair and three months later he returned to our hospital with new complaints of back pain. CT angiography showed a new aortic dissection extending from the left carotid artery through the bifurcation and into the iliac arteries. The patient underwent replacement of the aortic root, ascending aorta, total aortic arch, and aortic valve. The patient recovered well postoperatively. Genetic studies of the patient and his children revealed no mutations in ACTA2, TGFBR1, TGFBR2, TGFB2, MYH11, MYLK, SMAD3, or FBN1. This case report focuses on a patient with familial TAAD and discusses the associated genetic loci and available screening methods. It is important to recognize potential cases of familial TAAD and understand the available screening methods since early diagnosis allows appropriate management of risk factors and treatment when necessary.

Rare complication of a type IV paraoesophageal hiatal hernia in a Marfan syndrome patient

2021 ◽  
Vol 14 (4) ◽  
pp. e239641
Author(s):  
Lachlan Hou ◽  
Sunita Dhanda ◽  
Dan Xu
Keyword(s):  
Aortic Dissection ◽  
Hiatal Hernia ◽  
Marfan Syndrome ◽  
Rare Complication ◽  
Left Lung ◽  
Lower Lobe ◽  
Type Iv ◽  
History Of ◽  
Medical Histories ◽  
Long Term Prognosis

A 77-year-old female patient with Marfan syndrome presented with a 1-week history of worsening malaise and poor appetite. This was associated with a dramatic unintentional loss of weight as well as shortness of breath worsened by exertion. She has significant medical histories of a hiatal hernia and chronic type B aortic dissection. CT scan of the chest was able to confirm a type IV paraoesophageal hiatal hernia compressing on the lower lobe of her left lung without any progression of her aortic dissection. As surgical intervention was contraindicated in light of her advanced age and comorbidities, she was managed conservatively with a clinically satisfied outcome in the short term. Her long-term prognosis, however, is still poor with a high mortality of 1 and 5 years.

scholarly journals Aortic Dissection in a Healthy Male Athlete: A Unique Case with Comprehensive Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Balraj Singh ◽  
Jennifer M. Treece ◽  
Ghulam Murtaza ◽  
Samit Bhatheja ◽  
Steven J. Lavine ◽  
...  
Keyword(s):  
Chest Pain ◽  
Aortic Dissection ◽  
Anabolic Steroids ◽  
Venous Pressure ◽  
Ascending Aorta ◽  
Type I ◽  
Delay In Diagnosis ◽  
Long Time ◽  
Aortic Root Dilatation ◽  
History Of

A young otherwise healthy 27-year-old male who has been using anabolic steroids for a long time developed Type I aortic dissection associated with heavy weightlifting. The patient did not have a recent history of trauma to the chest, no history of hypertension, and no illicit drug use. He presented with severe chest pain radiating to back and syncopal event with exertion. Initial vitals were significant for blood pressure of 80/50 mmHg, pulse of 80 beats per minute, respirations of 24 per minute, and oxygen saturation of 92% on room air. Physical exam was significant for elevated jugular venous pressure, muffled heart sounds, and cold extremities with diminished pulses in upper and absent pulses in lower extremities. Bedside echocardiogram showed aortic root dilatation and cardiac tamponade. STAT computed tomography (CT) scan of chest revealed dissection of ascending aorta. Cardiothoracic surgery was consulted and patient underwent successful repair of ascending aorta. Hemodynamic stress of weightlifting can predispose to aortic dissection. Aortic dissection is a rare but often catastrophic condition if not diagnosed and managed acutely. Although rare, aortic dissection needs to be in the differential when a young weightlifter presents with chest pain as a delay in diagnosis may be fatal.

scholarly journals A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Hussein Al-Mohamad ◽  
Kara Stout ◽  
Taryn Bolling ◽  
Ronald Walsh
Keyword(s):  
Aortic Dissection ◽  
Ct Scan ◽  
Marfan Syndrome ◽  
Connective Tissue Disorder ◽  
Dissecting Aneurysm ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Fibrillin 1 ◽  
History Of ◽  
Abdominal Aortic Dissection

Introduction. Marfan syndrome (MFS) is a rare connective tissue disorder attributed to a defect in the fibrillin-1 gene. Aortic aneurysms and dissection are common causes of morbidity and mortality in Marfan syndrome. Case Report. A 43-year-old female with a history of MFS and a 4.0 cm dilated ascending aorta presented to her cardiologist reporting that since a C-section two years prior, the left side of her abdomen painlessly protruded when standing. An outpatient CT scan of the abdomen/pelvis noted a 5.5 cm abdominal aortic dissection, and she was directed to the hospital. Repeat CT scan of the abdomen/pelvis revealed a 5.6 cm dissecting aneurysm of the infrarenal abdominal aorta. The patient was admitted to the ICU and started on a nitroglycerin drip to maintain systolic blood pressure less than 110 mmHg. The patient underwent repair of her abdominal aortic dissection via a retroperitoneal approach, and she tolerated the procedure well. She was started on metoprolol tartrate 12.5 mg BID and aspirin 81 mg postoperatively. She was safely discharged with follow-up care. Conclusion. This case stresses the importance of having a low threshold to obtain imaging in a MFS patient with protruding abdomen, even though the patient may not have pain and be hemodynamically stable.

scholarly journals Repair of Multiple Subclavian and Axillary Artery Aneurysms in a 58-Year-Old Man with Marfan Syndrome

2016 ◽  
Vol 43 (5) ◽  
pp. 428-429 ◽  
Author(s):  
Ahmet Dolapoglu ◽  
Kim I. de la Cruz ◽  
Ourania Preventza ◽  
Joseph S. Coselli
Keyword(s):  
Aortic Dissection ◽  
Marfan Syndrome ◽  
Surgical Approach ◽  
Axillary Artery ◽  
Ascending Aorta ◽  
Dacron Graft ◽  
Bentall Procedure ◽  
Surgical Bypass ◽  
Aortic Dissections ◽  
Bypass Technique

Dilation of the ascending aorta and aortic dissections are often seen in Marfan syndrome; however, true aneurysms of the subclavian and axillary arteries rarely seem to develop in patients who have this disease. We present the case of a 58-year-old man with Marfan syndrome who had undergone a Bentall procedure and thoracoabdominal aortic repair for an aortic dissection and who later developed multiple aneurysmal dilations of his right subclavian and axillary arteries. The aneurysms were successfully repaired by means of a surgical bypass technique in which a Dacron graft was placed between the carotid and brachial arteries. We also discuss our strategy for determining the optimal surgical approach in these patients.

scholarly journals Surgical repair of Stanford type A acute aortic dissection with extreme tuberculosis-related mediastinal deviation

2019 ◽  
Vol 29 (5) ◽  
pp. 800-802
Author(s):  
Hiroyuki Saisho ◽  
Satoru Tobinaga ◽  
Shohei Yoshida ◽  
Hiroyuki Tanaka
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Surgical Repair ◽  
Type A ◽  
Ascending Aorta ◽  
Postoperative Course ◽  
X Ray ◽  
History Of ◽  
Chest X Ray

Abstract In this article, we report on the case of an 85-year-old woman with a history of left pulmonary tuberculosis, who was referred for Stanford type A acute aortic dissection. A preoperative chest X-ray and computed tomography revealed extreme mediastinal deviation to the left. We decided to perform surgery with left rib-cross thoracotomy. This approach yielded excellent exposure of the aortic root, ascending aorta and aortic arch. Following an uneventful operative and postoperative course, the patient was discharged on the 21st postoperative day.

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