INTRODUCTION Acute aortic dissection is a rare clinical entity that mainly affects patients older than 50 years. It is unusual in younger patients and its presence has been traditionally associated with trauma, Marfan syndrome, bicuspid aortic valve and pregnancy. Heavy weightlifting and other fibrillinopathies have been also implicated in the literature. We present here the case of a 26-year-o...

aortic dissection begins with the formation of a tear in the aortic intima, and it directly exposes an underlying diseased medial layer to the driving force of the intraluminal blood. this blood penetrates the diseased medial layer and cleaves the media longitudinally, thereby dissecting the aortic wall. herein, we report the case of a 38-year-old woman, who presented with chest pain and dyspne...

Aortic dissection occurs when the layers of the aorta separate as a result of extra luminal cavity of blood through an intimal tear. Dissection limited to the abdominal aorta is rare. Unfortunately, the appropriate management of dissecting aneurysm of abdominal aorta is not documented yet. A 43 years old man was admitted to Al-zahra hospital in Isfahan with sudden onset of periumbilical abdomin...

Acute aortic dissection is a rare but devastating complication during cardiac catheterization. We present the case of an elderly female who incurred a Stanford Type A/DeBakey Type I acute aortic dissection extending into the arch vessels and descending aorta likely occurring during right coronary artery engagement for angioplasty. The patient was treated successfully by immediately sealing the ...

Introduction Aortic dissection is a rare and potentially fatal disease. It usually presents with severe chest pain radiating to the back, isolated back pain, or abdominal pain. 1 Atypical symptoms such as dizziness, vertigo, syncope, weakness or numbness are uncommon. The prevalence of neurologic symptoms in aortic dissection account for up to 42% of cases. 2 One study revealed that 29% of pati...

Aortic dissection is a potentially fatal but rare disease characterized by an aortic intimal tear with blood passing into the media creating a false lumen and with resultant high mortality depending on the location of dissection if not aggressively treated. Cocaine users are known to have a higher incidence of aortic dissection. We report here aortic dissection in a patient with cocaine abuse w...

Aortic dissection is rare in the pediatric and young adult population. We hereby present a case of a 17-year- old male patient, without any predisposing factors, who developed an aortic dissection. The initial presentation was acute abdominal pain with massive retroperitoneal hematoma. His clinical condition deteriorated rapidly, did not respond to surgical hemostasis, and died within 36 hours ...

PURPOSE We report a case of macroaneurysm on the optic disc, a rare location, accompanied by vitreous hemorrhage in a patient with aortic dissection. METHODS A 60-year-old female with a history of aortic dissection at the age of 51 presented with visual disturbance owing to vitreous hemorrhage in her right eye. During vitrectomy, we found a large macroaneurysm on the optic disc that was beati...

This report provides a rare histological example and the appropriate management of spontaneous aortic dissection secondary to giant cell arteritis.

Iatrogenic aortic dissection caused by coronary angiography or angioplasty is a rare but potentially life-threatening complication. Awareness of the complication and its prompt recognition are important. We describe a 78-year-old woman who underwent coronary angioplasty for acute non-ST elevation myocardial infarction. An ostial dissection of the right coronary artery (RCA) with extension into ...