scholarly journals Acute Type A Aortic Dissection in a 36-Week Pregnant Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Erol Kohli ◽  
Sharhabeel Jwayyed ◽  
Gary Giorgio ◽  
Mary Colleen Bhalla
Keyword(s):  
Aortic Dissection ◽  
Early Recognition ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Increased Risk ◽  
History Of ◽  
Aortic Dissections

Aortic dissection is a relatively rare yet often fatal condition. Early recognition and treatment are crucial for survival. While the majority of patients who present with aortic dissection are older than 50 years of age and have a history of hypertension, younger patients with connective tissue disease, bicuspid aortic valves, and a family history of aortic dissection are also at an increased risk for developing this condition. A review of the literature revealed a paucity of published cases describing the successful, emergent repair of acute type A aortic dissections in third- trimester gravid patients. We present the case of the successful diagnosis and surgical repair of a 41-year-old female who presented to the emergency department with an acute type A aortic dissection at 36 weeks of gestation.

scholarly journals Type A aortic dissection in a young 37 weeks pregnant lady successfully treated by Bentall procedure: A case report

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
Rehan Shahid ◽  
◽  
Adnan Izhar ◽  
Ali Husnain ◽  
Anum Sohail ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Post Partum ◽  
Type A ◽  
Acute Type ◽  
Third Trimester ◽  
Type A Aortic Dissection ◽  
Bentall Procedure ◽  
Period 2 ◽  
Life Threatening ◽  
Sporadic Cases

Aortic dissection is intimal tear in aorta and collection of blood in between the layers of aortic wall. The incidence of acute type A aortic dissection is between 2.1 and 16.3 per 100,000 persons [1]. Aortic dissection is an infrequent but potentially life threatening complication of pregnancy with most of the cases occurring in third trimester and post-partum period [2]. The most important predisposing factors to aortic dissection are Marfan, Ehlers-Danlos, Turner and Loeys-Dietz syndromes [3]. However, the non sporadic cases can also occur in pregnancy [4].

scholarly journals Acute Type A Aortic Dissection in a 31-week Pregnant Patient^|^mdash;A Case Report^|^mdash;

2013 ◽  
Vol 74 (6) ◽  
pp. 1458-1461 ◽  
Author(s):  
Naomi YASUDA ◽  
Toshiro ITO ◽  
Nobuyoshi KAWAHARADA ◽  
Takayuki HAGIWARA ◽  
Shuichi NARAOKA ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Dissection ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Type A Aortic Dissection

Acute Type A Aortic Dissection in a 37-Week Pregnant Patient: An Unusual Clinical Presentation

2017 ◽  
Vol 52 (4) ◽  
pp. 565-568 ◽  
Author(s):  
Sun Hwa Lee ◽  
Seokyong Ryu ◽  
Seoung Won Choi ◽  
Hye Jin Kim ◽  
Tae Kyug Kang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Clinical Presentation ◽  
Type A ◽  
Pregnant Patient ◽  
Acute Type ◽  
Type A Aortic Dissection

scholarly journals Hybrid Arch for Acute Type A Aortic Dissection: When to Deploy the Endograft? Debate: Frozen versus Staged?

Aorta ◽  
2018 ◽  
Vol 06 (05) ◽  
pp. 109-112
Author(s):  
Jehangir Appoo ◽  
Akash Fichadiya ◽  
Holly Smith ◽  
Vamshi Kotha ◽  
Eric Herget ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Endovascular Techniques ◽  
Descending Aorta ◽  
Type A Aortic Dissection ◽  
Stent Grafting ◽  
Pros And Cons ◽  
Aortic Dissections ◽  
Open Arch

AbstractAdvances in open and endovascular techniques have resulted in novel approaches to repair of acute Type A aortic dissection. Hybrid arch procedures involve open arch resection and stent grafting of the descending aorta with stent graft insertion in one of two ways: Frozen or Staged. In this article, pros and cons of the two different paradigms of emerging hybrid arch techniques for acute Type A aortic dissections are discussed.

scholarly journals Limited root repair in acute type A aortic dissection is safe but results in increased risk of reoperation

2018 ◽  
Vol 155 (1) ◽  
pp. 1-7.e1 ◽  
Author(s):  
Peter Chiu ◽  
Jeffrey Trojan ◽  
Sarah Tsou ◽  
Andrew B. Goldstone ◽  
Y. Joseph Woo ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Root Repair ◽  
Increased Risk

scholarly journals Medical Management of Three Patients with an Acute Type A Aortic Dissection: Case Series and a Review of the Literature

Aorta ◽  
2018 ◽  
Vol 06 (04) ◽  
pp. 098-101
Author(s):  
Khaled Salhab ◽  
William Gioia ◽  
Andrew Rabenstein ◽  
George Gubernikoff ◽  
Scott Schubach
Keyword(s):  
Aortic Dissection ◽  
Medical Management ◽  
Case Series ◽  
Type A ◽  
Acute Type ◽  
Review Of The Literature ◽  
Type A Aortic Dissection ◽  
Surgery First ◽  
Aortic Dissections

AbstractThe model of surgery first and always for Type A aortic dissections has continued to evolve. During the last three decades, various studies have demonstrated that in select patients, surgery should be delayed or avoided. This case series examines three cases in which patients were medically treated. Furthermore, we review the literature and when surgery should be delayed for acute Type A aortic dissections.

Anastomotic leak after surgical repair of type A aortic dissection – prevalence and consequences in midterm follow-up

VASA ◽  
2017 ◽  
Vol 46 (5) ◽  
pp. 377-382 ◽  
Author(s):  
Tamer Ghazy ◽  
Adrian Mahlmann ◽  
Zuzana Fajfrova ◽  
Ayham Darwish ◽  
Mohamed Eraqi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Redo Surgery ◽  
Anastomotic Leaks ◽  
Type A Aortic Dissection ◽  
Therapeutic Consequences ◽  
Independent Risk Factors ◽  
Aortic Dissections

Abstract. Background: This study reports the mid-term prevalence and therapeutic consequences of anastomotic leaks after surgery for Stanford type A aortic dissections. Patients and methods: From July 2007 to July 2013, 93 patients survived surgery for acute type A dissections at our center and underwent a standardized follow-up. The pre-, peri-, and postoperative as well as the midterm results were collected prospectively. Follow-up computed tomography (CT) imaging was performed 7 days, 3, and 12 months after surgery, and yearly thereafter, to assess the presence or progression of anastomotic leaks at the aorto-prosthesis anastomotic sites. Results: The mean follow-up was 4 years (1534 ± 724 days). Follow-up CT revealed anastomotic leaks in 4 patients (4.3 %). All leaks developed during midterm follow-up and half of them did not increase with time. Two patients required redo surgery for an increase in periaortic extravasation and compression of neighboring structures. Further analysis was not able to reveal independent risk factors for development or deterioration of leaks. Conclusions: Anastomotic leaks after surgery for Stanford Type A aortic dissection can develop in midterm follow-up, even after initially excellent results. Meticulous follow-up is mandatory to detect possible deterioration and a need for redo surgery.

scholarly journals Type a Aortic Dissection Presenting with Acute Lower Extremity Vascular Insufficiency in the Absence of Chest Pain

2012 ◽  
Vol 5 ◽  
pp. OJCS.S8042
Author(s):  
Thomas J. Earl ◽  
Athena Poppas
Keyword(s):  
Chest Pain ◽  
Aortic Dissection ◽  
Lower Extremity ◽  
Type A ◽  
Type A Aortic Dissection ◽  
Non Invasive ◽  
Left Lower Extremity ◽  
Vascular Insufficiency ◽  
History Of ◽  
Aortic Dissections

We report a case of a 53 year-old man with a history of hypertension presenting with acute left lower extremity parasthesias and pulselessness initially presumed to be secondary to arterial thrombosis or embolism. Work-up included a transthoracic echocardiogram which revealed an aortic dissection at the level of the aortic root extending to the visualized portions of the descending aorta. Type A aortic dissections are relatively rare, with the vast majority of patients presenting with chest pain. Timely diagnosis of Type A aortic dissections are critical as to facilitate rapid surgical repair. To our knowledge, this is the first report of a painless Type A aortic dissection presenting with isolated lower extremity vascular insufficiency and demonstrates the potential role of transthoracic echocardiography as a rapid, non-invasive bedside modality in visualizing Type A aortic dissections.

scholarly journals Low arterial pressure on admission as a predictor of mortality in operated patients with type A aortic dissection

2011 ◽  
Vol 68 (5) ◽  
pp. 410-416 ◽  
Author(s):  
Katica Pavlovic ◽  
Nada Cemerlic-Adjic ◽  
Aleksandra Jovelic ◽  
Dalibor Somer
Keyword(s):  
Blood Pressure ◽  
Aortic Dissection ◽  
Arterial Hypertension ◽  
Type A ◽  
Left Ventricular ◽  
Ascending Aorta ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
History Of ◽  
Aorta Diameter

Background/Aim. Hypertension is a known predictor of proximal aortic dissection, but it is not commonly present in these patients on presentation. The associations between ascending aorta with left ventricular hypertrophy, cardiovascular risk factors and coronary atherosclerosis, and outcome of these patients are not fully elucidated. Methods. This retrospective study included 55 consecutive patients with acute type A aortic dissection treated surgically in our institution during the last 2 years. The diagnosis was based on imaging studies. Diameter of ascending aorta was measured with echocardiography. Results. The mean age of the patients was 55.4 ? 12.19 years, and 72.7% were men. A history of arterial hypertension was present in 76.4% of the patients. Maximal ascending aorta diameter was 4.09 ? 0.59 cm, while patients with frank aneurysm accounted for 5.5%. Systolic blood pressure on admission was < 150 mmHg in 58.2% of the patients. Diastolic blood pressure on admission was < 90 mmHg in 54.5% of the patients. Mean arterial pressure on admission was 104.9 ? 24.6 mmHg. No correlations were demonstrated between maximal ascending aorta diameter and diameter of the left ventricular wall, any obtained risk factor and with coronary artery atherosclerosis (p > 0.05). After six months 11 (20%) patients died, while intrahospital mortality was 72%. According to logistic regression analysis which included traditional risk factors, echo parameters, coronary artery disease and logistic euro scor, mean arterial blood pressure was the independent predictor of a six-month mortality [RR 0.956; CI (0.918-0.994 ); p = 0.024]. Conclusion. In our population the acute type A aortic dissection occurred rarely in the setting of frank ascending aortic aneurysms > 5.0 cm. The majority of patients had a history of arterial hypertension. A history of arterial hypertension was not associated with maximal ascending aorta diameter. Mean arterial blood pressure was the independent predictor of a six-months mortality.

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