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.

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 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 Anterograde Amnesia as a Manifestation of Acute Type A Aortic Dissection

2019 ◽  
Vol 29 (04) ◽  
pp. 263-266 ◽  
Author(s):  
Claudia Stöllberger ◽  
Julia Koller ◽  
Josef Finsterer ◽  
Dominic Schauer ◽  
Marek Ehrlich
Keyword(s):  
Computed Tomography ◽  
Chest Pain ◽  
Aortic Dissection ◽  
Memory Impairment ◽  
Acute Aortic Dissection ◽  
Anterograde Amnesia ◽  
Type A ◽  
Type A Aortic Dissection ◽  
D Dimer ◽  
Aortic Dissection Type A

Objectives Memory impairment has been only rarely reported in association with acute aortic dissection type A. We report a patient with pure anterograde amnesia and memory impairment of contents occurring after the event, accompanying acute aortic dissection type A. Case Report A previously healthy 53-year-old Caucasian male was admitted because of sudden chest pain after having lifted a heavy object. Clinical examination and electrocardiogram showed no abnormalities. Since blood tests showed leukocytosis, anemia, and elevated D-dimer level, either pulmonary embolism or aortic dissection was suspected; therefore, computed tomography was suggested. The patient seemed disoriented to time, and neurologic investigation confirmed that the patient was disoriented to time; short time memory was severely impaired and concentration was reduced. An amnestic episode with anterograde amnesia was diagnosed. Computed tomography showed type A aortic dissection. A supracoronary replacement of the ascending aorta was performed. The patient was discharged on the 7th postoperative day. Three months postoperatively, the patient is clinically stable; however, amnesia for the interval between pain onset and cardiac surgery persists. Conclusions Transient amnesia, usually considered a benign syndrome, may be more common than generally recognized in aortic dissection. The suspicion for aortic dissection or other cardiovascular emergencies is substantiated when amnesia is associated with sudden onset of chest pain, leukocytosis, and elevated D-dimer levels. Computed tomography of the aorta with contrast medium is the imaging method of choice to confirm or exclude the diagnosis.

A Widened Mediastinum in an Asymptomatic Man With a Remote History of Repaired Type-A Aortic Dissection

2014 ◽  
Vol 28 (4) ◽  
pp. 1167-1170
Author(s):  
Melinda McFarland-Kennedy ◽  
Ghulam Murtaza ◽  
G. Hossein Almassi ◽  
Zahir A. Rashid ◽  
Paul S. Pagel
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
History Of

Non-Invasive Coronary Angiography in a Patient with Chronic Type-A Aortic Dissection

Herz ◽  
2004 ◽  
Vol 29 (5) ◽  
Author(s):  
AlexanderY. Lind ◽  
Holger Eggebrecht ◽  
GertO. Kerkhoff ◽  
Thomas Budde ◽  
Raimund Erbel
Keyword(s):  
Coronary Angiography ◽  
Aortic Dissection ◽  
Invasive Coronary Angiography ◽  
Type A ◽  
Chronic Type ◽  
Type A Aortic Dissection ◽  
Non Invasive

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.

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