Acute Aortic Dissection: an Update

Cavalcanti, Luiz Rafael Pereira; Campos, Jessica Cordeiro S.; P, Braga; Perazzo, Álvaro Monteiro; Neto, Antonio C. Escorel de A.; Wanderley, Laio C.; Holz, B.; Soares, Alexandre Magno Macário Nunes; Zhigalov, Konstantin; Tsagakis, Konstantinos; Ruhparwar, Arjang; Weymann, Alexander

doi:10.1007/s40138-020-00216-3

Cited by 3 publications

(3 citation statements)

References 109 publications

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“…Clinically, the most common catastrophe resulting from AAA is acute aortic dissection. Aortic dissection occurs 50% more often than rupture of aortic aneurysms (Cavalcanti et al 2020). Abdominal aneurysms are usually repaired surgically via prosthetic grafts (Stites J et al1989).…”

Section: Methods and Case Reportmentioning

confidence: 99%

Abdominal Aortic Aneurysm: A Case Report in Western Maharashtra, India

Devi¹,

Bhukya²,

Acharya³

et al. 2022

Anat. J. Afr.

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An arterial aneurysm is defined as a permanent localized dilatation of the vessel at least 150% compared to a relative normal adjacent diameter of that artery. Abdominal aortic aneurysm (AAA) is defined as localized enlargement of the abdominal aorta such that the diameter is greater than 3 cm. AAA is potentially life-threatening finding. AAA may be detected incidentally or at the time of rupture. We reported a case of fusiform type of abdominal aortic aneurysm in a donated cadaver which was found during the routine dissection of a 76-year-old male died of acute myocardial infarction in western Maharashtra. The dimensions were measured by using both manual and verniers caliper method. The dimensions were 7 cm in length, 3.5cm in width, 11 cm in circumference, unruptured and positioned below the renal arteries, just above the aortic bifurcation. Owing to the vital role of aorta in the abdomen, we believe that the knowledge of this vascular pathology will be enlightening the field of medicine.

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Section: Methods and Case Reportmentioning

confidence: 99%

Abdominal Aortic Aneurysm: A Case Report in Western Maharashtra, India

Devi¹,

Bhukya²,

Acharya³

et al. 2022

Anat. J. Afr.

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show abstract

“…This ensured that no dissection was missed and avoided selection bias. There is controversy surrounding intramural hematomas and whether they result from dissection or develop into dissection [1]. We classified an intramural hematoma as a dissection for this study.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Acute aortic dissection (AD) is an important cause of cardiac death, with an incidence estimated to lie between 5 and 30 cases per million per year [1]. It occurs when an intimal tear allows blood to penetrate the aortic media or when the rupture of vessels within the media resultsin separating the aortic wall layers These patients underwent 1363 CT aortograms, as many had repeat or follow-up imaging within our timeframe.…”

Section: Introductionmentioning

confidence: 99%

Aortic Dissection Masquerading as Pulmonary Embolism: A Case Series

2023

J Med Case Rep Case Ser

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BackgroundTo investigate how often aortic dissection (AD) may masquerade as pulmonary embolism (PE). MethodsRetrospective cohort study. The electronic records of 998 consecutive patients who underwent CT imaging of their aorta between 2016 and 2021 were analyzed. Those with aortic dissection were then examined to determine if CTPA had been requested before CT aortography. ResultsThirty-one patients had AD. Five (16 %) AD patients underwent CTPA as their initial imaging modality mainly because they presented with pleuriticpain. All five had radiological signs suggestive of a false lumen which was confirmed subsequently in each case by CT aortography.All five had type B dissections. Four of the five had no evidence of PE, while one had PE and AD. DiscussionWe have shown that a significant proportion of patients with AD were misdiagnosed as PE initially.clinicians should be aware that aorticdissection may masquerade as pulmonary embolism.

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Dissecção de aorta em gêmeos: fatores genéticos e adquiridos - Relato de caso e Revisão de Literatura

Manica,

Lacerda Felipiak,

Peron Binda

et al. 2024

rsc

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A dissecação de aorta é uma grave condição que encontra no diagnóstico precoce um aliado no sucesso do tratamento. Os pacientes com quadros de dissecção referem inicialmente dor torácica de início súbito e o tratamento, com possibilidade clínica ou cirúrgica, é voltado ao local em que o vaso foi lesado. Depois do reconhecimento da doença, a classificação da patologia em Stanford A ou Stanford B é fundamental para esclarecer a região aórtica acometida, sob tutela da análise dos fatores de risco que influenciam diretamente no desfecho do paciente, já que hipertensão, vasculites, tabagismo e a história clínica familiar voltadas à genética são pontos que requerem atenção por parte do médico. O objetivo deste relato de caso é esclarecer a fisiopatologia da dissecção, os principais genes associados e reforçar a importância da coleta de uma história clínica rica em detalhes, para entender as raízes da lesão, suas possíveis causas e todo o contexto social, cultural e econômico em que o paciente está inserido, que podem ter contribuído significativamente para a ocorrência da doença.

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Acute Aortic Dissection: an Update

Cited by 3 publications

References 109 publications

Abdominal Aortic Aneurysm: A Case Report in Western Maharashtra, India

Abdominal Aortic Aneurysm: A Case Report in Western Maharashtra, India

Aortic Dissection Masquerading as Pulmonary Embolism: A Case Series

Dissecção de aorta em gêmeos: fatores genéticos e adquiridos - Relato de caso e Revisão de Literatura

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