Patients with acute aortic dissection, the dominant condition in acute aortic syndromes, have a high mortality [1]. Within types of thoracic aortic dissection, the more extensive the TAD the worse the prognosis [2]. Thus, factors influencing the extent of the TAD are important considerations. The initial presentation of acute aortic dissection is severe chest pain and hypertension. The presence...

A56-year-old man presented with sudden severe chest and back pain. His chest x-ray showed a slight prominence on the upper descending thoracic aorta. Aortic dissection (type B) was visible on transesophageal echocardiography and CT. Coronary angiography showed normal coronary arteries. MRI and contrast-enhanced magnetic resonance angiography (CE-MRA) confirmed the diagnosis of type B aortic dis...

BACKGROUND Sudden onset peri- or post-coital cardiovascular disease is well documented in the literature including myocardial infarction, pulmonary embolus and subarachnoid haemorrhage. The occurrence of aortic dissection in this setting has been reported only once previously. CASE PRESENTATION We report the case of a 47 year old man who developed sudden onset right leg pain during coitus. Th...

The three Valsalva sinuses are hollow structures named after the corresponding aortic valve cusps. Valsalva sinus aneurysms are relatively rare (0.14-0.23%), congenital or acquired, the most common being congenital, most often affecting the right coronary sinus. They also may be secondary to bacterial endocarditis, syphilis, atherosclerosis, aortic dissection, Marfan syndrome or as a result of ...

A 70 year-old man admitted to emergency room with nausea-vomiting and severe abdominal pain. Rebound or defense was not present. Arterial blood pressure was 130/75 mmHg in both arms. ECG revealed ST depression in derivations AVL, D1, V4, V5, V6. Serum troponin level was 0.2 (reference value: 0-0,04 ng/mL). Because of the presence of leukocytosis (15,300/μL) and high C-reactive protein (11.6 mg/...

Disseminated intravascular coagulation (DIC) is an acquired coagulation disorder that occurs when the normal hemostatic balance is disturbed, primarily by excessive thrombin formation. Moreover, while DIC is a rare complication of aortic dissecting aneurysm, it is also a well-recognized one. We reported a case of DIC associated with aortic dissecting aneurysm in a 55-year-old woman who was tran...

Ruptured valsalva sinus aneurysm to pericardium is a rare condition. Here, we described a case presented with tamponade. Initially, hemopericardium was partially drained and then, imaging evaluations were done. Transesophageal echocardiography showed limited dissection of aortic sinus and CT angiography of the ascending aorta showed deformed dilated right coronary sinus. Besides, surgery showed...

Liddle syndrome is a rare form of autosomal dominant monogenic hypertension manifested as an early onset of resistant hypertension with either no response or suboptimal response to conventional antihypertensive therapy. If there is a delay in diagnosis, uncontrolled hypertension can lead to end organ damage. To our knowledge, aortic dissection has not been reported in association with this dise...

Iatrogenic aortic dissection (IAD) is a rare complication of percutaneous coronary interventions (PCI). There are no clear guidelines for IAD management, and limited data are available. Registry data and case series combined with extrapolations from our experience with spontaneous Type-A dissections suggest that very limited dissections are often managed conservatively with coronary stenting of...

Acute aortic dissection is a life-threatening disease. Approximately half of the aortic dissection observed in women under 45 years old has been reported to be related to pregnancy. Herein, we present a case of type A aortic dissection diagnosed in postpartum period. A 37-year-old woman admitted to the emergency department with the complaint of sudden onset of dyspnea. Arterial blood pressure w...