Girls and women with Turner syndrome are at risk for catastrophic aortic dissection and rupture, but the clinical profile for those at risk is not well described. In addition to reporting two new cases, we performed an electronic search to identify all reported cases of aortic dissection associated with Turner syndrome. Particular attention was paid to the reporting of systemic hypertension (HT...

PURPOSE We developed the next stage of our computer assisted diagnosis (CAD) system to aid radiologists in evaluating CT images for aortic disease by removing innocuous images and highlighting signs of aortic disease. MATERIALS AND METHODS Segmented data of patient's contrast-enhanced CT scan was analyzed for aortic dissection and penetrating aortic ulcer (PAU). Aortic dissection was detected...

OBJECTIVE The is to report immunohistochemical observations of aortic α-smooth muscle actin (SMA) expressions in patients with aortic aneurysm, acute aortic dissection, and coronary artery disease and to discuss phenotypic switching of smooth muscle cells (SMCs) of these lesions. METHODS Forty-nine consecutive patients scheduled for surgical treatment for acute type A aortic dissection (20 pa...

BACKGROUND Computed tomographic angiography (CTA) has emerged as the defacto imaging test to rule out acute aortic dissection; however, it is not without flaws. We report a case of a false-positive CTA with respect to Stanford Type A aortic dissection. CASE A 52 year-old male presented with sudden onset shortness of breath. He denied chest pain. Due to severe hypertension and an Emergency Dep...

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 ...

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...

OBJECTIVES To conduct the first population-level incidence study of aortic dissection in pregnancy using linked hospital-based data in England. SETTING Hospital-based data (Hospital Episode Statistics (HES) linked with mortality data from the Office of National Statistics), national enquiries (Confidential Enquiries into Maternal Mortality) and surveys (UK Obstetric Surveillance System; UKOSS...

BACKGROUND A timely diagnosis of aortic dissection is associated with lower mortality. The use of emergent bedside ultrasound has been described to diagnose aortic dissection. However, there is limited literature regarding the use of bedside ultrasound to identify superior mesenteric artery dissection, a known high-risk feature of aortic dissection. OBJECTIVE Our aim was to present a case of ...

Aortic dissection is a rare and a life threatening event. Classically, aortic dissection presents as sudden, severe chest, back or abdominal pain that is characterized as ripping or tearing in nature. However, a timely diagnosis can be elusive in the event of an atypical presentation. So, a high index of clinical suspicion is mandatory for the accurate and rapid diagnosis of aortic dissection. ...

The Journal of Thoracic and Cardiovascular Surgery • Volume 123, Number 2 369 I n surgery for acute aortic dissection, the choice of appropriate arterial access for cardiopulmonary bypass is sometimes difficult because of dissection in large branches of the aorta. We report the efficacy of transapical aortic cannulation in acute type A aortic dissection in a patient with diffuse atherosclerotic...