scholarly journals Non-Traumatic Splenic Rupture After Open Surgery for Type A Aortic Dissection: A Case Report and Literature Review

2020 ◽  
Vol 23 (3) ◽  
pp. E315-E317 ◽  
Author(s):  
Xudong Guo ◽  
Xinyan Pang ◽  
Zhengqin Liu
Keyword(s):  
Aortic Dissection ◽  
Splenic Rupture ◽  
Type A ◽  
Left Shoulder ◽  
Severe Condition ◽  
Type A Aortic Dissection ◽  
Life Threatening ◽  
History Of ◽  
Intraperitoneal Bleeding ◽  
Traumatic Splenic Rupture

Aortic dissection is a severe condition that involves a tear in the wall of the major artery carrying blood out of the heart (aorta). This cardiac disease has a high mortality, particularly Stanford type A, which involves the first part of the aorta. Aortic dissection is characterized by urgent onset, rapid progress, and poor outcome [Nienaber 2003; Mehta 2002]. Surgery is the most effective treatment. Although there have been remarkable recent advances in the understanding and management of various aspects of these complex surgeries, many potential complications remain. Non-traumatic splenic rupture is a rare postoperative complication of type A aortic dissection, and there are only a few published reports discussing this complication. Splenic rupture is a life-threatening cause of intraperitoneal bleeding and often is associated with the preexisting pathology of the spleen in the absence of trauma [Renzulli 2009]. Its manifestation is characterized by abdominal pain, left shoulder pain, and even shock. Because of the history of aortic dissection, physicians initially may suspect arterial rupture. In our report, we aim to present the possibility of splenic rupture as a complication of aortic dissection surgery and the need for immediate surgical intervention.

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 Acute Aortic Dissection Mimicking STEMI in the Catheterization Laboratory: Early Recognition Is Mandatory

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Alessio Arrivi ◽  
Gaetano Tanzilli ◽  
Paolo Emilio Puddu ◽  
Giovanni Truscelli ◽  
Marcello Dominici ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Early Recognition ◽  
Type A ◽  
Type A Aortic Dissection ◽  
Catheterization Laboratory ◽  
Arterial Complication ◽  
Threatening Condition ◽  
Life Threatening ◽  
Previously Treated ◽  
Pathophysiologic Mechanisms

Coronary malperfusion due to type A aortic dissection is a life-threatening condition where timely recognition and treatment are mandatory. A 77-year-old woman underwent an acute evolving type A aortic dissection mimicking acute myocardial infarction. Two pathophysiologic mechanisms are discussed: either thrombosis migrating from a previously treated giant aneurism of proximal left anterior descending or a local arterial complication due to left main stenting. Recognition of these occurrences in the catheterization laboratory is important to look immediately for surgery.

scholarly journals Successful Repair of Concomitant Acute Type A Aortic Dissection and Saddle Pulmonary Embolism

Aorta ◽  
2018 ◽  
Vol 06 (01) ◽  
pp. 034-036
Author(s):  
Fabio Ramponi ◽  
Theone Papps ◽  
James Edwards
Keyword(s):  
Pulmonary Embolism ◽  
Aortic Dissection ◽  
Type A ◽  
Management Plan ◽  
Acute Onset ◽  
Correct Identification ◽  
Acute Type ◽  
Pulmonary Embolectomy ◽  
Type A Aortic Dissection ◽  
Life Threatening

AbstractPatients presenting with acute onset of chest pain require prompt diagnosis and rapid establishment of a management plan. Acute aortic dissection and acute pulmonary embolism are life-threatening emergencies that can mimic each other at presentation. Correct identification of this uncommon scenario is crucial to initiate the appropriate interventions. The authors present a unique case of concomitant acute type A aortic dissection and acute saddle pulmonary embolism; the patient underwent successful aortic repair and pulmonary embolectomy.

A Widened Mediastinum in an Asymptomatic Man With a Remote History of Repaired Type-A Aortic Dissection

2014 ◽  
Vol 28 (4) ◽  
pp. 1167-1170
Author(s):  
Melinda McFarland-Kennedy ◽  
Ghulam Murtaza ◽  
G. Hossein Almassi ◽  
Zahir A. Rashid ◽  
Paul S. Pagel
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Type A Aortic Dissection ◽  
History Of

scholarly journals Postoperative Care of Two Patients With End-stage Heart Disease Combined With Type a Aortic Dissection

2021 ◽  
Author(s):  
Xiaofeng Xu ◽  
Yunqing Cheng ◽  
Juntao Kuang ◽  
Xuejun Xie ◽  
Jinsong Huang ◽  
...  
Keyword(s):  
Heart Disease ◽  
Aortic Dissection ◽  
Heart Transplantation ◽  
Type A ◽  
Acute Type ◽  
Donor Heart ◽  
Timely Manner ◽  
Type A Aortic Dissection ◽  
Life Threatening ◽  
End Stage

Abstract BackgroundHeart transplantation is a major method in the treatment of end-stage heart disease. Acute type A aortic dissection is a rare and life-threatening disease requiring emergency surgery. Although surgical treatment has achieved certain progress in terms of techniques and equipment in the recent years, the surgical mortality rate is still as high as 25%. It is very rare for patients with end-stage heart disease to simultaneously contract aortic dissection. This study will explore the main points of care after end-stage heart disease combined with aortic dissection.ResultsThe cold ischemic times of the donor heart of the two patients were 340 min and 361 min, and the cardiopulmonary bypass times were 381 min and 411 min. Both were successfully operated and discharged uneventfully. ConclusionsThe combination of heart transplantation with aortic dissection surgery is complicated and is prone to multiple postoperative complications. The nursing staff is required to master the main points of care after heart transplantation and aortic dissection, observe problems in a timely manner, intervene early, and promote the patient’s recovery.

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 Outcomes of Preoperative Antiplatelet Therapy in Patients with Acute Type A Aortic Dissection

2021 ◽  
Author(s):  
Xuan Jiang ◽  
Enyi Shi ◽  
Ruixin Fan ◽  
Ximing Qian ◽  
Hongjia Zhang ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Antiplatelet Therapy ◽  
Type A ◽  
Coronary Intervention ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Coronary Syndrome ◽  
Before And After ◽  
Life Threatening ◽  
Immediate Surgery

Background: Acute type A aortic dissection(ATAAD) is life-threatening and requires immediate surgery. Sudden chest pain may lead to a risk of misdiagnosis as acute coronary syndrome and may lead to subsequent antiplatelet therapy. We used the Chinese Acute Aortic Syndrome Collaboration Database (AAS) to study the effects of antiplatelet therapy (APT) on clinical outcomes. Methods: The AAS database is a retrospective multicentre database where 31 of 3092 had APT with aspirin or clopidogrel or both before surgery. Before and after propensity score matching, the incidence of complications and mortality was compared between APT and non-APT patients by using a logistic regression model. The sample remaining after PSM was 30 in the APT group and 80 in the non-APT group. Results: The sample remaining after matching was 30 in the APT group and 80 in the non-APT group. We found 10 cases with percutaneous coronary intervention in the APT group(33.3%). The APT group received more volume of packed red blood cell (RBC), 8.4±6.05 units; plasma, 401.67±727 ml, and platelet transfusion(14.07±8.92 units). The drainage volume was much more in the APT group( 5009.37±2131.44ml, P=0.004). Mortality was higher in APT group(26% vs 10%, P=0.027). The preoperative APT was independent predictor of mortality(OR 6.808, 95% CI1.554-29.828, P = 0.011). Conclusion: APT prior to ATAAD repair was associated with more transfusions and higher early mortality. The timing of surgery should be carefully considered based on the patient’s status and the surgeon’s experience.

Painless type A aortic dissection

2020 ◽  
Vol 13 (5) ◽  
pp. e234831
Author(s):  
Victor G Becerra-Gonzales ◽  
Marian Calfa ◽  
Rhea Sancassani
Keyword(s):  
Aortic Dissection ◽  
Asymptomatic Patient ◽  
Type A ◽  
Clinical Findings ◽  
Acute Onset ◽  
Type A Aortic Dissection ◽  
Delay In Diagnosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
Electrocardiogram Ecg

Aortic dissection is an uncommon diagnosis that typically presents with acute onset of severe pain. It rarely presents with minimal to no symptoms, which carries a higher mortality risk given the delay in diagnosis. An adequate interpretation of risk factors, clinical findings and auxiliary tests constitutes a greater value for clinicians to detect this life-threatening condition. This report describes a case of type A aortic dissection in an asymptomatic patient presenting with an abnormal electrocardiogram (ECG).

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