Unsuspected aortic dissection: the chronic "healed" dissection

An Unsuspected Case of Aortic Dissection

Aortic dissection is a rare life-threatening condition that typically presents with acute onset of severe chest, abdominal, or back pain. Some patients might present with atypical symptoms and findings, such as neurological syndromes, making it difficult to make the diagnosis. Here, we report a case of a painless acute aortic rupture over an already existing Stanford type A chronic aortic disse...

Chronic Aneurysmal Aortic Dissection

E ndovascular grafting is being increasingly used to treat aortic aneurysms and dissections. However, patients with aneurysmal dissections involving both the thoracic and abdominal aorta are particularly challenging to treat because of the natural communications at the level of the visceral arteries, particularly in the presence of a defined connective tissue disease. Reports of hybrid procedur...

Periaortitis complicating chronic aortic dissection.

RE, Popma JJ, Schaff HV, Williams DO, Gibbons RJ, Alpert JP, Eagle KA, Faxon DP, Fuster V, Gardner TJ, Gregoratos G, Russell RO. ACC/AHA guidelines of percutaneous coronary interventions (revision of the 1993 PTCA guidelines)—executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to revise the 1993 guidelines for...

Intramural aortic abscess mimicking chronic aortic dissection.

A 77-year-old patient was referred for progressive fatigue and dyspnea on exertion. Preoperative imaging evaluations including transthoracic echocardiography and computed tomography were suggestive of a chronic ascending aortic dissection with an intramural hematoma. Intraoperatively, the intramural structure was identified as an abscess cavity.

management of aortic dissection