Acute Aortic Syndromes

Loewe, Christian

doi:10.1007/174_2017_23

Cited by 2 publications

(1 citation statement)

References 78 publications

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“…There are several classifications of the aortic dissection, namely the Stanford, DeBakey, Svensson, and Penn classifications (7). The basis for the new classifications was laid by a significant difference in the effectiveness of surgical treatment of the ascending and descending aortas.…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the retrograde type A aortic dissection after endovascular repair of type B aortic dissection: a case report

Pidvalna¹,

Mirchuk²,

Voitovych³

et al. 2021

HVT

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Aortic dissection requires immediate medical attention. The optimal treatment approach of Type B aortic dissection is still a matter of debate. Possible options include open surgery, endovascular aortic repair (EVAR), and hybrid procedure. The indication for surgery is the dissection that involves the ascending aorta and the aortic arch (Type A Stanford, Types I and II DeBakey). Hybrid or endovascular procedures seem to be an attractive alternative treatment for patients with the complex aortic disease and a high risk of surgery. Endovascular treatment of acute Type B aortic dissections is designed to prevent the retrograde dissection of the ascending aorta and the aortic arch. The occurrence of retrograde Type A aortic dissection (RTAD) is rare, but the mortality rate is high. We report a case of a 55-year-old gentleman who had undergone thoracic EVAR. Thirty months after the given procedure he presented with RTAD and underwent supracoronary aortic replacement. The article is intended to remind the clinicians of the importance of early detection of the possible complications when performing EVAR, and the significance of a rapid response.

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Section: Discussionmentioning

confidence: 99%

Anatomy of the retrograde type A aortic dissection after endovascular repair of type B aortic dissection: a case report

Pidvalna¹,

Mirchuk²,

Voitovych³

et al. 2021

HVT

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Anatomy of Aortic Dissection in the Patient With Marfan Syndrome Who Underwent Surgery: A Case Report

Pidvalna

Beshley²,

Матешук-Вацеба

et al. 2020

PSSS MS

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Introduction. Aortic dissection is the most common acute aortic pathology. Acute ascending aortic dissection is a life-threatening condition and a surgical emergency which requires prompt visualization of the aortic anatomy.Presentation of the case. Concurrent aortic dissection and Marfan syndrome (MFS) followed by the aneurysm of the aorta which required supracoronary aortic replacement (2012), Bentall procedure ( 2014) and urgent open thoracic descending aorta replacement (2017) are described in the case report.Discussion. Patients with the aortic dissection may have certain underlying conditions, such as MFS, which can predispose to dissection. The aortic pathology is registered in almost 65-100% of the patients with MFS. The prevalence of Type A aortic dissection among the patients with MFS at the age of 60 is approximately 50%. The most common pattern of repair is the proximal ascending aortic repair followed by the descending thoracic aneurysm surgery. The open surgery technique, as well as the aortic dissection or aneurysm repairs, may be safely used in the patients with MFS. Conclusion.Anatomical features of the aorta in the patients with MFS are vitally important when carrying out the analysis of the computed tomography images; in particular, the schedule of the computed tomography follow-up for the patients with MFS should be customized to each case.

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Acute Aortic Syndromes

Cited by 2 publications

References 78 publications

Anatomy of the retrograde type A aortic dissection after endovascular repair of type B aortic dissection: a case report

Anatomy of the retrograde type A aortic dissection after endovascular repair of type B aortic dissection: a case report

Anatomy of Aortic Dissection in the Patient With Marfan Syndrome Who Underwent Surgery: A Case Report

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