Figure - available from: The International Journal of Cardiovascular Imaging
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a, b Axial visualization at CT scan of the ascending aorta below and above the intimal flap. c, d Note the thrombosis of the false lumen in the ascendig portion of the aorta at 2-year CT scan follow-up
Source publication
Acute aortic dissection is a life-threatening conditions with a high mortality rate within the first 24 h since presentation, if left untreated. Nevertheless the setting may be chronic and stable. We present a rare case of a misdiagnosed and unoperated Stanford type A aortic dissection in a 78-year old woman with stable computed tomography features...
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Stanford type A aortic dissection (AD) is a rapidly progressive disease associated with a very high mortality rate, especially in the absence of emergent surgical repair. However, very rarely, few cases remain undiagnosed in acute phase because of atypical or absent symptoms. We present such an atypical case of a chronic painless type A AD in an el...
Acute type A aortic dissection is a catastrophic disease that develops from a tear within the intima of the aortic wall, thereby creating a false lumen in the ascending aorta. Early suspicion, diagnosis, and prompt surgery play a key role in the survival of patients. It is a surgical emergency and requires replacement of the ascending aorta/aortic...
Background
Lymphocyte-to-monocyte ratio (LMR) is associated with the mortality of cardiovascular diseases. However, the relationship between preoperative LMR and the prognosis of patients with Stanford type A aortic dissection (TAAD) undergoing surgical treatment remains to be determined.
Methods
We enrolled 879 patients with TAAD undergoing surgi...
Background:
Management of acute type A intramural hematoma (IMH) is a controversial topic. In our study, we aim to analyze the survival outcomes in local patients with acute type A IMH and a meta-analysis on survival in type A IMH treated medically versus surgically was performed.
Methods:
From 2014 to 2019, 65 patients with acute type A IMH wer...
Citations
... Acute aortic processes such as aortic dissection and rupture are associated with > 50% mortality. Although patients typically present with acute-onset chest and back pain, the clinical presentation can be diverse, and prompt diagnosis is of paramount importance [40][41][42]. However, conventional US is neither specific nor sensitive, and CTA remains the gold standard for noninvasive diagnosis. ...
Ultrasound (US) remains a valuable modality for the assessment of vascular diseases, with conventional sonographic techniques such as grayscale and Doppler US used extensively to assess carotid atherosclerosis and abdominal aortic aneurysms. However, conventional US techniques are inherently limited by factors such as operator dependency and limited field of view. There is an increasing interest in the use of advanced sonographic techniques such as contrast-enhanced US (CEUS) and 3-dimensional (3D) US to mitigate some of these limitations. Clinical applications of advanced sonographic techniques include surveillance of abdominal aortic aneurysm, post-endovascular aortic repair, and carotid atherosclerotic plaques. Recently published studies have demonstrated that CEUS and 3D US are superior to conventional US and comparable to computed tomography for certain vascular applications. Further research is required to fully validate the application of advanced sonographic techniques in evaluating various atherosclerotic diseases.
... Most important and vital complica-tion in patients with progression in aortic dilatation is risk of aortic rupture. [8] Gennari et al. reported case of overlooked and unoperated acute Stanford type A aortic dissection with survival of 4 years [9] and Raffa et al. presented a case with incidentally detected chronic Stanford type A aortic dissection in which graft replacement surgery was successful. [10] Additionally, there is a case in the literature of acute Stanford type A aortic dissection in which spontaneous resolution of dissection was observed in a month. ...
Stanford type A aortic dissection requires urgent intervention and immediate surgical approach in the emergency department. Survival rate is low, even in patients who undergo immediate surgery. Presently described is a case of unoperated Stanford type A aortic dissection that has been in follow-up under beta-blocker treatment for 7 years. To the best of our knowledge, our case is the longest surviving patient with unoperated type A aortic dissection reported in the literature.
