The incidence of aortic dissection ranges from 5 to 30 cases per million people per year, depending on the prevalence of risk factors in the study population. Although the disease is uncommon, its outcome is frequently fatal, and many patients with aortic dissection die before presentation to the hospital or prior to diagnosis. While pain is the most common symptom of aortic dissection, more th...

BACKGROUND Girls and women with Turner syndrome are at risk for aortic dissection and rupture. However, the size of the aorta and the clinical characteristics among those with Turner syndrome and dissection have received little attention. METHODS AND RESULTS We obtained medical records from 20 individuals who voluntarily participated in the International Turner Syndrome Aortic Dissection Regi...

A cohort study was performed using the International Registry of Acute Aortic Dissection (IRAD) from February 1, 1998 to 28, 2018. Of 9707 patients enrolled in IRAD, 29 (0.3%) had experienced aortic dissection during pregnancy or <3 months postpartum. 105 women aged <35 years, related 20 (19%). Approximately one half type and half, B dissection. Aortopathy present (69%) their relatives (Marfan ...

Acute aortic dissection is a rare but devastating condition with high mortality. Unfortunately, there is no sensitive screening indicator of disease in common use. The objective of this study was to assess the sensitivity and utility of the serum D-dimer as a test for acute aortic dissection. A pooled analysis was performed of all original research studies testing the sensitivity of serum D-dim...

OBJECTIVES Intramural haematoma is defined pathologically as aortic dissection without an intimal tear. We therefore believe that this term is inappropriate as an acute clinical diagnosis, and instead, use the term 'thrombosed-type acute aortic dissection'. We compared the features of thrombosed-type acute aortic dissection with those of classic dissection. METHODS Thrombosed type was defined...

Acute Type I aortic dissections are fast progressing highly mortal vascular emergencies if management delays. In this particular paper we report a case with a Type I aortic dissection mistreated for first 2 hours as thrombotic AMI, and aortic dissection diagnosis confirmed and treated surgically immediately. 59 years old male patient admitted to emergency room with sudden onset chest pain. Pati...

AIM Aortic dissection is a life-threatening aortic catastrophe where layers of the aortic wall are separated allowing blood flow within the layers. Propagation of aortic dissection is strongly linked to the rate of rise of pressure (dp/dt) experienced by the aortic wall but the hemodynamics is poorly understood. The purpose of this study was to perform computational fluid dynamics (CFD) simulat...

A 90-year-old woman presented to our emergency department due to gradually increasing dyspnea over the last 3 days. Her medical history was significant for well-controlled arterial hypertension and pernicious anemia. Physical examination demonstrated blood pressure of 125/64 mmHg, heart rate of 74 beats/minute, bilateral lung crepitations and holosystolic murmur at apex radiating to ax-illa. He...

Although not common, acute leg ischemia is an important element in the clinical presentation of a patient with aortic dissection. This report describes a case of aortic dissection in which the main feature at presentation was acute right leg ischemia. The angiography showed right common iliac artery and external iliac artery occlusion. Diagnosis was made by clinical evaluation and angiography. ...

BACKGROUND The modern imaging techniques of transesophageal echocardiography, CT, and MRI are reported to have up to 100% sensitivity in detecting the classic class of aortic dissection; however, anecdotal reports of patient deaths from a missed diagnosis of subtle classes of variants are increasingly being noted. METHODS AND RESULTS In a series of 181 consecutive patients who had ascending o...