scholarly journals A pulsatile chest mass after Bentall procedure: a case report

2021 ◽  
Author(s):  
Xiaofan Huang ◽  
Dashuai Wang ◽  
Yu Song ◽  
Long Wu
Keyword(s):  
Aortic Dissection ◽  
Patient Outcomes ◽  
Septal Defect ◽  
Surgical Operation ◽  
Bentall Procedure ◽  
Iatrogenic Aortic Dissection ◽  
Pulsatile Mass ◽  
Life Threatening ◽  
Chest Mass ◽  
Improve Patient

Aortic dissection is an aggressive and life-threatening cardiac disease with highly challenging in surgical operation. Bentall procedure was potential complications. How to manage them would be important to improve patient outcomes. In this case, we present a 41-year-old male patient with iatrogenic aortic dissection. He had aortic valve replacement and repair of atrial septal defect in 2012. After 5 years, he suffered reoperation for aortic dissection. A year later the patient was readmitted for a voluminous pulsatile mass over the anterior thorax, confirming the presence of a huge pseudoaneurysm originating from the left coronary bottom performed during the Bentall procedure, requiring a third operation to repair the hemorrhagic site. The pseudoaneurysm was common complication after inclusion technique in Bentall procedure. How to effective hemostasis or tension-free anastomosis was important to improve patient outcomes.

scholarly journals A Pulsatile Chest Mass After Bentall Procedure: A Case Report

2021 ◽  
Vol 24 (5) ◽  
pp. E794-E796
Author(s):  
Xiaofan Huang ◽  
Dashuai Wanga ◽  
Yu Songa ◽  
Long Wua
Keyword(s):  
Patient Outcome ◽  
Aortic Dissection ◽  
Septal Defect ◽  
Common Complication ◽  
Surgical Operation ◽  
Bentall Procedure ◽  
Iatrogenic Aortic Dissection ◽  
Pulsatile Mass ◽  
Life Threatening ◽  
Chest Mass

Aortic dissection is an aggressive and life-threatening cardiac disease that’s highly challenging in surgical operation. Bentall procedure comes with potential complications. How to manage these complications is important when it comes to improving patient outcome. In this case, we present a 41-year-old male patient with iatrogenic aortic dissection. He had aortic valve replacement and repair of an atrial septal defect in 2012. After five years, he suffered reoperation for aortic dissection. A year later, the patient was readmitted for a voluminous pulsatile mass over the anterior thorax, confirming the presence of a huge pseudoaneurysm originating from the left coronary bottom performed during the Bentall procedure. This required a third operation to repair the hemorrhagic site. Pseudoaneurysm is a common complication after the inclusion technique in the Bentall procedure. Effective hemostasis or tension-free anastomosis is important toward improving patient outcome.

scholarly journals Type A aortic dissection in a young 37 weeks pregnant lady successfully treated by Bentall procedure: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Rehan Shahid ◽  
◽  
Adnan Izhar ◽  
Ali Husnain ◽  
Anum Sohail ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Post Partum ◽  
Type A ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Bentall Procedure ◽  
Period 2 ◽  
Life Threatening ◽  
Sporadic Cases

Aortic dissection is intimal tear in aorta and collection of blood in between the layers of aortic wall. The incidence of acute type A aortic dissection is between 2.1 and 16.3 per 100,000 persons [1]. Aortic dissection is an infrequent but potentially life threatening complication of pregnancy with most of the cases occurring in third trimester and post-partum period [2]. The most important predisposing factors to aortic dissection are Marfan, Ehlers-Danlos, Turner and Loeys-Dietz syndromes [3]. However, the non sporadic cases can also occur in pregnancy [4].

scholarly journals Precision Phenomapping of Acute Coronary Syndromes to Improve Patient Outcomes

2021 ◽  
Vol 10 (8) ◽  
pp. 1755
Author(s):  
Felicita Andreotti ◽  
Adelaide Iervolino ◽  
Eliano Pio Navarese ◽  
Aldo Pietro Maggioni ◽  
Filippo Crea ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Acute Coronary Syndromes ◽  
Bleeding Risk ◽  
Risk Scores ◽  
St Segment Elevation ◽  
St Segment ◽  
Life Threatening ◽  
Coronary Syndromes ◽  
Improve Patient ◽  
Cardiac Troponins

Acute coronary syndromes (ACS) are a global leading cause of death. These syndromes show heterogeneity in presentation, mechanisms, outcomes and responses to treatment. Precision medicine aims to identify and synthesize unique features in individuals, translating the acquired data into improved personalised interventions. Current precision treatments of ACS include immediate coronary revascularisation driven by ECG ST-segment elevation, early coronary angiography based on elevated blood cardiac troponins in patients without ST-segment elevation, and duration of intensified antithrombotic therapy according to bleeding risk scores. Phenotypically stratified analyses of multi-omic datasets are urgently needed to further refine and couple the diagnosis and treatment of these potentially life-threatening conditions. We provide definitions, examples and possible ways to advance precision treatments of ACS.

Sonographic Evaluation of the Progression of Takayasu’s Arteritis

2017 ◽  
Vol 33 (4) ◽  
pp. 296-302
Author(s):  
Madeline B. McCallister ◽  
Kelsy L. Fisher
Keyword(s):  
Patient Outcomes ◽  
Takayasu’S Arteritis ◽  
Pulmonary Arteries ◽  
Clinical Manifestations ◽  
Takayasu's Arteritis ◽  
Young Females ◽  
Life Threatening ◽  
Effective Use ◽  
Improve Patient ◽  
Serial Examination

Takayasu’s arteritis (TA) is a rare nonspecific inflammatory disease of unknown cause predominantly affecting the aorta and its main branches, coronary arteries, and pulmonary arteries of young females. Diagnosis of TA is typically achieved through computed tomography angiography (CTA) or magnetic resonance angiography (MRA), with sonography often used as a tool for surveillance of disease progression following diagnosis. A case of previously diagnosed TA is presented that demonstrates the effective use of sonography to monitor the progression of the disease with serial examination. The use of CTA and MRA allowed for accurate initial diagnosis, whereas sonography proved to be an effective diagnostic surveillance tool for proper tracking of the disease and its clinical manifestations. Increased sonographer awareness of TA including the clinical manifestations and sonographic characteristics associated with progression of the disease can improve patient outcomes in this potentially life-threatening disease.

scholarly journals Non-A Non-B Aortic Dissection: A Literature Review

2021 ◽  
Author(s):  
Callum Howard ◽  
Anuradha Ponnapalli ◽  
Safwan Shaikh ◽  
Mohammed Idhrees ◽  
Mohamad Bashir
Keyword(s):  
Literature Review ◽  
Aortic Dissection ◽  
Patient Outcomes ◽  
Small Proportion ◽  
Surgical Techniques ◽  
Medical Emergency ◽  
Life Threatening ◽  
Aortic Dissections

Non-A non-B aortic dissections are an infrequent occurrence and represent a small proportion of aortic dissections. Treating this life-threatening medical emergency often requires surgeons to undertake some one of the most challenging surgical or endovascular cases in medicine. This literature review aims to define and classify non-A non-B dissections, describe their epidemiology as well as their pathology. This review also aims to discuss the range of surgical techniques employed in their treatment and management and to investigate the patient outcomes associated with each technique.

Combined Approaches to the Skull Base for Intracranial Extension of Tumors via Perineural Spread can Improve Patient Outcomes

2016 ◽  
Vol 77 (S 01) ◽  
Author(s):  
Sheri Palejwala ◽  
Jonnae Barry ◽  
Crystal Rodriguez ◽  
Chandni Parikh ◽  
Stephen Goldstein ◽  
...  
Keyword(s):  
Skull Base ◽  
Patient Outcomes ◽  
Intracranial Extension ◽  
Perineural Spread ◽  
Improve Patient

Acute Type-A Aortic Dissection with Obstruction of the Right Coronary Artery

2014 ◽  
Vol 17 (4) ◽  
pp. 196
Author(s):  
Erhan Kaya ◽  
Halit Yerebakan ◽  
Daniel Spielman ◽  
Omer Isik ◽  
Cevat Yakut
Keyword(s):  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Type A ◽  
Sudden Onset ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Bentall Procedure ◽  
The Right

Occlusion of a coronary artery by an acute type A aortic dissection presents a life-threatening emergency that is rarely seen and easy to misdiagnose. We present the case of a 75-year-old male who experienced sudden onset of severe left-sided chest pain due to an acute type A aortic dissection that obstructed the right coronary artery. Following an initial misdiagnosis of acute coronary syndrome, imaging revealed the presence of an aortic dissection. An emergency modified Bentall procedure was performed, in which the damaged aorta and aortic valve were replaced.

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