We present an unusual case of acute type A dissection complicated with severe aortic valve insufficiency caused by prolapse of the tubular intimal flap into the left ventricular outflow tract, which was shown legibly by transesophageal echocardiography in the diastolic phase and by intraoperative macroscopic findings. The dissected ascending aorta was excised completely and replaced without any...

Discussion Our patient fulfills all the American College of Rheumatology criteria for TA [5] , and vessel vasculitis was histologically proven. Arterial dissection in TA is rare [2, 6] , with few reports of aortic dissection [7] and only one report of ICA dissection [8] . In our patient, at the moment of ICA dissection, all the other aortic archs and their branches were angiographically normal ...

The case of a young adult presenting with an acutely ischaemic left lower limb following a low impact road traffic accident is presented here. Diagnostic imaging revealed a Type A aortic dissection extending to the left common femoral artery. An emergency combined procedure was undertaken to first revascularise the lower limb and then repair the ascending aorta. Whilst cases of lower limb ischa...

Aortic dissection is a life-threatening condition with a 50% mortality rate in the first 48 hours and a 3-month mortality rate of 90% in untreated patients. Aortic dissection is a rare complication of pregnancy, but there is significant morbidity and mortality for the mother and infant. A 43-year-old woman with a 37-week intrauterine pregnancy was admitted to the emergency department 6 hours af...

BACKGROUND Retrograde type A aortic dissection has been deemed a rare complication after endovascular stent graft placement for type B dissection. However, this life-threatening event appears to be underrecognized and is worth being investigated further. METHODS AND RESULTS Eleven of 443 patients developed retrograde type A aortic dissection during or after stent grafting for type B dissectio...

Fistulization between the aorta and the right atrium is a rare complication of ascending aortic dissection. Because of the typical haemodynamic unstability, the diagnosis is often made by bedside or intraoperative transoesophageal echocardiography. The treatment is surgical, but with very high mortality. We describe a case of type A aortic dissection complicated with shock and fistulization int...

Iatrogenic acute dissection of the ascending aorta is a serious but rare complication of cardiac catheterization and percutaneous coronary intervention (PCI). Although treatment of ascending aortic dissection may require surgical repair, stenting at the origin of the dissection area may be sufficient in aortocoronary dissection (AD) following PCI. Described is the case of a 64-year-old female p...

A 52-year-old man came to the local emergency department with symptoms of heart failure and transient chest pain. Transthoracic echocardiography showed severe aortic regurgitation and a dilated ascending aorta. Aortic dissection was suspected, and he was transferred to our institution. Transesophageal echocardiography appeared to confirm the presence of a type A dissection. A mobile, linear str...