In patients with acute type A aortic dissection, intimal detachment associated with circumferential dissection of the left main coronary artery (LMCA) is a rare but lethal complication. We report a Marfan patient with dissection and intimal detachment of the LMCA that was caused by acute aortic dissection involving the left aortic sinus and that was reconstructed using a short reversed saphenou...

OBJECTIVE/BACKGROUND Classification systems for aortic dissection provide important guides to clinical decision-making, but the relevance of traditional categorization schemes is being questioned in an era when endovascular techniques are assuming a growing role in the management of this frequently complex and catastrophic entity. In recognition of the expanding range of interventional therapie...

Acute aortic syndromes including aortic rupture remain lifethreatening, and represent a unique area in cardiovascular surgery. Thoracic endovascular aortic repair (TEVAR) has become widely accepted as a major option in the treatment of thoracic aortic diseases, particularly for emergency patients such as those with a ruptured dissection [1,2]. We report a case with type B aortic dissection that...

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 syndrom...

Giant pseudoaneurysm of the ascending aorta is a rare but dreadful complication occurring several months or years after aortic surgery. Thoracic aortic aneurysms tend to be asymptomatic and were previously often diagnosed only after a complication such as dissection or rupture. We present a rare case of giant ascending aneurysm with Stanford type A aortic dissection occurring 6 years after aort...

trunk procedure combined with ascending aorta and arch replacement for acute type A aortic dissection. Should the 'elephant trunk' be skeletonized? Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection. Kitamura S. Is emergency total arch replacement with a modified elephant trunk technique justified for acute type A aortic dissection?gra...

BACKGROUND Our objective was to analyze the causes, timing, and results of reoperation after primary repair for acute type A dissection. METHODS One hundred and four consecutive patients underwent a reoperation after previous type A aortic dissection repair (1972 to 2008). Supracoronary ascending aorta replacement (SCAR) was commonly performed during primary repair and it was associated with ...

We reported simple partial root remodeling using a graft trimmed twin "U" shape for extensive dissection into the right/non-coronary sinuses with acute type A aortic dissection with cardiac tamponade, acute myocardial infarction on the right coronary artery and aortic regurgitation. After total arch replacement with frozen elephant trunk technique for distal dissection, partial root remodeling ...

Background Acute aortic dissection is one of the most dreaded clinical conditions during pregnancy. The limited experience reported in the literature does not allow the determination of guidelines for surgical management of aortic dissection in these cases. In this case presentation we successfully treated a 27-year-old woman with Marfan syndrome in the 36th week of pregnancy with acute type A ...

Increasing researches suggest that inflammatory response is involved in vascular remodeling, which plays an important role in the development of aortic dissection. Glucocorticoids have been widely used in the clinical practice due to its powerful and effective anti-inflammatory property. However, the potential relationship between glucocorticoids and aortic dissection was still obscure. This st...