Aortic Dissection Caused by Giant Cell Arteritis

2011 ◽  
Vol 14 (2) ◽  
pp. 137 ◽  
Author(s):  
Thomas Strecker ◽  
Stephan Zimmermann ◽  
David-Lukas Wachter ◽  
Abbas Agaimy
Keyword(s):  
Computed Tomography ◽  
Connective Tissue ◽  
Aortic Dissection ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Surgical Repair ◽  
Rare Complication ◽  
Type A ◽  
Degenerative Diseases ◽  
Type A Aortic Dissection

Aortic dissection is a very serious condition mainly caused by degenerative diseases of the connective tissue and hypertension. Ascending aortic dissection as a consequence of aortitis in association with giant cell arteritis is very rarely seen. In this article we report on the successful surgical repair of a Stanford type A aortic dissection caused by giant cell arteritis in a 74-year-old patient. We could visualize this dissection via echocardiography and computed tomography. Histopathology confirmed this rare complication of giant cell aortitis.

scholarly journals Giant cell aortitis leading to Stanford type B and type A aortic dissection

JRSM Open ◽  
2017 ◽  
Vol 8 (10) ◽  
pp. 205427041771556
Author(s):  
Ahmed El-Medany ◽  
W Wallace ◽  
E Mcrorie ◽  
Sy Tan ◽  
K Lim
Keyword(s):  
Aortic Dissection ◽  
Giant Cell Arteritis ◽  
Giant Cell ◽  
Type A ◽  
Type B ◽  
Type A Aortic Dissection ◽  
Stanford Type B

Lesson This report provides a rare histological example and the appropriate management of spontaneous aortic dissection secondary to giant cell arteritis.

Cardiac Computed Tomography of Aortocoronary Bypass in Type A Aortic Dissection

2008 ◽  
Vol 16 (1) ◽  
pp. 86-87
Author(s):  
Markus Weininger ◽  
Christian O Ritter ◽  
Dietbert Hahn ◽  
Matthias Beissert
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Cardiac Computed Tomography ◽  
Type A ◽  
Aortocoronary Bypass ◽  
Type A Aortic Dissection

scholarly journals Surgery out of office hours for type A aortic dissection: does night-time and weekend surgery worsen outcome?

2020 ◽  
Vol 31 (6) ◽  
pp. 806-812
Author(s):  
Simone Gasser ◽  
Lukas Stastny ◽  
Markus Kofler ◽  
Vitalijs Zujs ◽  
Christoph Krapf ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Emergency Surgery ◽  
Odds Ratio ◽  
Surgical Repair ◽  
Type A ◽  
Skin Incision ◽  
Night Time ◽  
Femoral Access ◽  
Type A Aortic Dissection ◽  
Malperfusion Syndrome

Abstract OBJECTIVES Immediate surgical repair for type A aortic dissection is gold standard and at most centres is performed by the surgeon on call during night-time and weekends. The objective was to evaluate whether emergency surgery during night-time or weekends has an influence on 30-day mortality. METHODS In 319 patients undergoing surgery for type A aortic dissection, skin incision was documented. Patients were divided into 2 groups according to the time point of skin incision (05:00 a.m. to 07:00 p.m. = daytime group; 07:01 p.m. to 04:59 a.m. = night-time group). We also noted whether their surgeries were started on weekdays (Monday 00:00 to Friday 23:59) or weekends (Saturday 00:00 to Sunday 23:59). RESULTS The median age was 61 years (interquartile range 49–70) and 69.6% (n = 222) were male. Almost 50% (n = 149) of patients presented in a critical preoperative state. Forty-one percent of patients (n = 131) underwent night-time surgery. There were no differences in baseline data, time from onset of symptoms to surgery or surgical treatment between groups, except from preferred femoral access for arterial cannulation during night-time. Advanced age [odds ratio 1.042, 95% confidence interval (CI) 1.014–1.070], preoperative malperfusion syndrome (odds ratio 2.542, 95% CI 1.279–5.051) and preoperative tamponade (odds ratio 2.562, 95% CI 1.215–5.404) emerged as risk factors for 30-day mortality. Night-time or weekend surgery did not have any impact on 30-day mortality when covariates were considered. CONCLUSIONS Based on the natural course of the disease and our results, surgery for type A aortic dissection should be performed as an emergency surgery regardless of time and day.

scholarly journals Enlargement of aortic arch vessels after surgical repair of type A aortic dissection

2017 ◽  
Vol 65 (3) ◽  
pp. 669-675 ◽  
Author(s):  
Takashi Yamauchi ◽  
Suguru Kubota ◽  
Toshihiro Ohata ◽  
Kosei Hasegawa ◽  
Hideki Ueda
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Surgical Repair ◽  
Type A ◽  
Type A Aortic Dissection
Sign in / Sign up

Export Citation Format

Share Document