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Application of cook balloon during aorta replacement in a pregnant Marfan-syndrome patient: a case report.

Lu Zhang, Bin Yan, Xue Cui, Jinghong Liu, Fangxin Shi,

BACKGROUND:Aortic dissection is a rare and emergent condition. Aortic dissection during pregnancy is not much known but it is quite lethal to both mother and infant. Earlier reports published show that clinicians conducted hysterectomies during cesarean section to avoid anticoagulant-induced uterine bleeding during the following aortic surgery. CASE PRESENTATION:A woman ... Read more >>

BMC Pregnancy Childbirth (BMC pregnancy and childbirth)
[2020, 20(1):177]

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Anesthetic Management of Patients Undergoing Aortic Dissection Repair With Suspected Severe Acute Respiratory Syndrome Coronavirus-2 Infection.

Hao He, Shuai Zhao, Linlin Han, Qi Wang, Haifa Xia, Xin Huang, Shanglong Yao, Jiapeng Huang, Xiangdong Chen,

Severe acute respiratory syndrome coronavirus-2 is still active in Wuhan, China, and is spreading to the rest of the world. Recently, perioperative anesthetic management in patients with suspected or confirmed coronavirus-2 has been reported. However, little has been reported on the anesthetic management of patients undergoing aortic dissection repair in ... Read more >>

J. Cardiothorac. Vasc. Anesth. (Journal of cardiothoracic and vascular anesthesia)
[2020, :]

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Coronary dissection with ST elevation myocardial infarction responding to thrombolytic and conservative therapy alone.

Morteza Safi, AliReza Serati, Sepideh Emami, Mohammad Reza Movahed,

In this report, we describe a case of spontaneous coronary dissection involving left anterior descending artery presenting with acute anterior myocardial infarction successfully treated with thrombolytic and conservative therapy with a suggestion that spontaneous resolution of thrombus occurred before coronary intervention could be performed. As we did not have initial ... Read more >>

Future Cardiol (Future cardiology)
[2020, :]

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Eagle Syndrome And Internal Carotid Artery Dissection: Description Of 5 Cases Treated In Two Italian Institutions And Review of The Literature.

Giuseppe Baldino, Carla Di Girolamo, Giovanni De Blasis, Amerigo Gori,

Eagle syndrome is a rare pattern of symptoms (0.16% of general population) due to the conflict with adjacent anatomical structures by an elongated styloid process or a calcified stylohyoid ligament; two variants of this condition have been described in the literature, classical and vascular. The classical form is caused by ... Read more >>

Ann Vasc Surg (Annals of vascular surgery)
[2020, :]

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Neck dissection prolongs survival in patient with stage IVC hypopharyngeal carcinoma with mixed responses to nivolumab.

Tatsuya Ito, Hiroki Sato, Takahiro Tsujikawa, Hideaki Hirai, Isaku Okamoto, Keitaro Miyake, Toshitaka Nagao, Kiyoaki Tsukahara,

Surgical intervention aids in maintaining quality of life in patients with recurrent metastatic head and neck carcinoma with mixed responses to nivolumab treatment. However, the mechanisms involved in these mixed responses remain unclear. Systemic chemotherapy using the EXTREME regimen was administered to the patient with hypopharyngeal carcinoma and liver metastases ... Read more >>

Auris Nasus Larynx (Auris, nasus, larynx)
[2020, :]

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Pathogenic FBN1 Genetic Variation and Aortic Dissection in Patients With Marfan Syndrome.

Olivier Milleron, Florence Arnoult, Gabriel Delorme, Delphine Detaint, Quentin Pellenc, Richard Raffoul, Maria Tchitchinadze, Maud Langeois, Celine Guien, Christophe Beroud, Jacques Ropers, Nadine Hanna, Pauline Arnaud, Laurent Gouya, Catherine Boileau, Guillaume Jondeau,

BACKGROUND:Aortic risk has not been evaluated in patients with Marfan syndrome and documented pathogenic variants in the FBN1 gene. OBJECTIVES:This study sought to describe aortic risk in a population with Marfan syndrome with pathogenic variants in the FBN1 gene as a function of aortic root diameter. METHODS:Patients carrying an FBN1 ... Read more >>

J. Am. Coll. Cardiol. (Journal of the American College of Cardiology)
[2020, 75(8):843-853]

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Atypical Hemolytic Uremic Syndrome following Acute Type A Aortic Dissection.

Eigo Ikushima, Manabu Hisahara, Takuya Nishijima, Hikaru Uchiyama, Tatsushi Onzuka, Yoshie Ochiai, Tsuyoshi Muta, Shigehiko Tokunaga,

Atypical hemolytic uremic syndrome (aHUS) is a thrombotic microangiopathy (TMA)-related disease that manifests as a triad of microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury (AKI) and is caused by uncontrolled activation of the complement system. We report the case of a 61-year-old woman with acute type A aortic dissection ... Read more >>

Case Rep Hematol (Case reports in hematology)
[2020, 2020:2467953]

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Lessons of the month 2: FAST is not always FAST.

Muhammad Ia Qureshi, Ayman Osman,

Thrombolytic treatment with tissue plasminogen activator is an established therapy for selected patients with ischaemic stroke within a narrow time window of 3 hours from the onset of symptoms. However, severe complications and poor outcomes are likely to ensue if a patient with acute aortic dissection is inadvertently treated with ... Read more >>

Clin Med (Lond) (Clinical medicine (London, England))
[2020, 20(2):219-220]

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Imaging of the aortic root on high-pitch non-gated and ECG-gated CT: awareness is the key!

Prashant Nagpal, Mukta D Agrawal, Sachin S Saboo, Sandeep Hedgire, Sarv Priya, Michael L Steigner,

The aortic pathologies are well recognized on imaging. However, conventionally cardiac and proximal aortic abnormalities were only seen on dedicated cardiac or aortic studies due to need for ECG gating. Advances in CT technology have allowed motionless imaging of the chest and abdomen, leading to an increased visualization of cardiac ... Read more >>

Insights Imaging (Insights into imaging)
[2020, 11(1):51]

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Clinical impact of evaluation of frailty in endoscopic submucosal dissection for early gastric cancer in elderly patients.

Noboru Misawa, Takuma Higurashi, Jun Tachikawa, Hiroaki Tanabe, Tsutomu Yoshihara, Keiichi Ashikari, Kenji Kanoshima, Akiko Fuyuki, Hidenori Ohkubo, Yusuke Saigusa, Hideyuki Chiba, Takashi Nonaka, Hitoshi Kuriyama, Noritoshi Kobayashi, Atsushi Nakajima,

AIMS:Endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) is performed safely and effectively in elderly patients; however, whether ESD for EGC in elderly patients with frailty is safe and improves prognosis remains unclear. METHODS:In total, 142 patients aged ≥80 years who underwent ESD for EGC between September 2008 and September ... Read more >>

Geriatr Gerontol Int (Geriatrics & gerontology international)
[2020, :]

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Prognostic value of clinical and morphologic findings in patients with type B aortic intramural hematoma.

Zilun Li, Chenshu Liu, Ridong Wu, Jian Zhang, Hong Pan, Jinghong Tan, Zhuang Guo, Yingying Guo, Nan Yu, Chen Yao, Guangqi Chang,

BackgroundAortic intramural hematoma (IMH) is a subset of acute aortic syndrome, and its prognosis may differ between races. This study aimed to study the prognosis of Chinese type B IMH patients and to find out risk factors.MethodsA total of 71 type B IMH patients with or without penetrating atherosclerosis ulcer ... Read more >>

J Cardiothorac Surg (Journal of Cardiothoracic Surgery)
[2020, 15:]

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Fibrocartilaginous embolism as a cause of anterior spinal artery syndrome?

Ingvild Nakstad, Ivana Randjelovic, Harald Bergan, Kristin Evensen,

BACKGROUND:Fibrocartilaginous embolism (FCE) is a rare cause of spinal cord infarction. Most spinal cord infarctions are due to aortic pathologies and aortic surgeries. One theory is that material from the intervertebral discs follows a retrograde route to the anterior spinal artery. Fibrocartilaginous embolism and spinal cord infarction have also been ... Read more >>

Tidsskr. Nor. Laegeforen. (Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke)
[2020, 140(5):]

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Aortic dissection reconsidered: type, entry site, malperfusion classification adding clarity and enabling outcome prediction.

Hans-Hinrich Sievers, Bartosz Rylski, Martin Czerny, Anna L M Baier, Maximilian Kreibich, Matthias Siepe, Friedhelm Beyersdorf,

OBJECTIVES:Aortic dissection is complex. Imaging and treatment modalities are evolving, demanding a more differentiated but pragmatic dissection classification. Our goal was to provide a new practical classification system including Type of dissection, location of the tear of the primary Entry and Malperfusion (TEM). METHODS:We extended the Stanford dissection classification (A ... Read more >>

Interact Cardiovasc Thorac Surg (Interactive cardiovascular and thoracic surgery)
[2020, 30(3):451-457]

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Aortic dissection or spontaneous renal artery dissection, a rare diagnosis?

Mustafa Korkut, Cihan Bedel,

Spontaneous renal artery dissection (SRAD) is a rare entity causing muscle spasm due to acute low back pain, back pain, or flank pain symptoms or misleading clinical diagnosis such as renal colic. A 25-year-old Syrian male refugee presented to the emergency department with sudden onset of left-sided flank pain in ... Read more >>

CEN Case Rep (CEN case reports)
[2020, :]

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A Case of an Abdominal Aortic Dissection in a Hemodynamically Stable Marfan Syndrome Patient Presenting without Pain.

Hussein Al-Mohamad, Kara Stout, Taryn Bolling, Ronald Walsh,

Introduction. Marfan syndrome (MFS) is a rare connective tissue disorder attributed to a defect in the fibrillin-1 gene. Aortic aneurysms and dissection are common causes of morbidity and mortality in Marfan syndrome. Case Report. A 43-year-old female with a history of MFS and a 4.0 cm dilated ascending aorta presented to ... Read more >>

Case Rep Cardiol (Case reports in cardiology)
[2020, 2020:1704150]

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The elevated admission white blood cell count relates to adverse surgical outcome of acute Stanford type a aortic dissection.

Mingjia Ma, Juan Shi, Xin Feng, Jing Wang, Ligang Liu, Xiang Wei,

BACKGROUND:The purpose of the study was to examine the association between white blood cell count (WBCc) on admission and early outcome in patients with the acute Stanford type A aortic dissection (TAAD). METHODS:From January 2012 to December 2018, we retrospectively evaluated a series of 331 consecutive patients underwent surgery for ... Read more >>

J Cardiothorac Surg (Journal of Cardiothoracic Surgery)
[2020, 15(1):48]

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Clinical features and prognosis of patients with spontaneous coronary artery dissection.

Chayakrit Krittanawong, Anirudh Kumar, Zhen Wang, Kipp W Johnson, Usman Baber, Angela Palazzo, Roxana Mehran, Deepak L Bhatt,

There have been inconsistent reports regarding the clinical features and characteristics of patients diagnosed with spontaneous coronary artery dissection (SCAD). In addition, predictors of mortality in SCAD patients are unknown. We evaluated the prevalence, clinical characteristics, medical management, and predictors of in-hospital mortality of SCAD-related hospitalizations using data from a ... Read more >>

Int. J. Cardiol. (International journal of cardiology)
[2020, :]

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The risk of misdiagnosis in acute thoracic aortic dissection: a review of current guidelines.

M Yousuf Salmasi, Nina Al-Saadi, Philip Hartley, Omar A Jarral, Shahzad Raja, Muthana Hussein, Julian Redhead, Ulrich Rosendahl, Christoph A Nienaber, John R Pepper, Aung Y Oo, Thanos Athanasiou,

Acute aortic syndrome and in particular aortic dissection (AAD) persists as a cause of significant morbidity and mortality despite improvements in surgical management. This clinical review aims to explore the risks of misdiagnosis, outcomes associated with misdiagnosis and evaluate current diagnostic methods for reducing its incidence.Due to the nature of ... Read more >>

Heart (Heart (British Cardiac Society))
[2020, :]

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A Multimedia Educational Module for Teaching Early Medical Neuroanatomy.

Matthew C Welch, Jonathan Yu, M Benjamin Larkin, Erin K Graves, David Mears,

Introduction:As the global burden of neurological disorders continues to rise, physicians' need for a solid understanding of neuroanatomy is becoming more important. Traditional neuroanatomy curricula offer a limited approach to educating a diverse profile of learning styles. In an attempt to incorporate recent literature addressing diverse learning formats, we developed ... Read more >>

MedEdPORTAL (MedEdPORTAL : the journal of teaching and learning resources)
[2020, 16:10885]

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Pneumothorax, pneumomediastinum, and dysphonia complicating awake transcarotid artery revascularization.

Ross M Clark, John A Curci,

A 59-year-old woman presented with advanced, symptomatic carotid artery stenosis in the setting of severe medical comorbidities including coronary artery disease, congestive heart failure with recent admission for exacerbation, and diabetes mellitus. She underwent awake transcarotid artery revascularization because of her medically high-risk status. Postoperatively, she was noted to have ... Read more >>

J Vasc Surg Cases Innov Tech (Journal of vascular surgery cases and innovative techniques)
[2020, 6(1):133-135]

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MRTF-A promotes angiotensin II-induced inflammatory response and aortic dissection in mice.

Sohei Ito, Yohei Hashimoto, Ryohei Majima, Eichi Nakao, Hiroki Aoki, Michihide Nishihara, Satoko Ohno-Urabe, Aya Furusho, Saki Hirakata, Norifumi Nishida, Makiko Hayashi, Koichiro Kuwahara, Yoshihiro Fukumoto,

Aortic dissection (AD) is a major cause of acute aortic syndrome with high mortality due to the destruction of aortic walls. Although recent studies indicate the critical role of inflammation in the disease mechanism of AD, it is unclear how inflammatory response is initiated. Here, we demonstrate that myocardin-related transcription ... Read more >>

PLoS ONE (PloS one)
[2020, 15(3):e0229888]

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A Juvenile Case of Bow Hunter's Syndrome Caused by Atlantoaxial Dislocation with Vertebral Artery Dissecting Aneurysm.

Koji Bando, Toshiyuki Okazaki, Hideo Mure, Masaaki Korai, Yasushi Takagi,

BACKGROUND:Bow hunter's syndrome (BHS) is caused by posterior circulation insufficiency that results from the occlusion or compression of the vertebral artery (VA) during neck rotation. Owing to its rarity, there is no guideline to support the decision of selecting a conservative or a surgical approach. Management of BHS is dependent ... Read more >>

World Neurosurg (World neurosurgery)
[2020, 137:393-397]

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A73 PHARYNGEAL VARICES AS A COMPLICATION OF PORTAL HYPERTENSION: A CASE SERIES.

J Ghaith, P James, F Wong,

AbstractBackgroundOne of the complications of portal hypertension, with or without the presence of cirrhosis, is the development of varices along the length of the gastrointestinal tract. The commonest sites are along the esophagus or in the stomach. Ectopic varices in the small and large bowels can also be observed, but ... Read more >>

J Can Assoc Gastroenterol (Journal of the Canadian Association of Gastroenterology)
[2020, 3(Suppl 1):86-88]

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Biomarkers of Aortopathy in Marfan Syndrome.

Zaid Iskandar, Ify Mordi, Chim C Lang, Jeffrey T J Huang, Anna-Maria Choy,

Marfan Syndrome (MFS) is an autosomal dominant, genetically inherited connective tissue disorder which primarily affects the cardiovascular system, but can also have systemic manifestations. First described in 1896, MFS has a prevalence of around 1/5000 in the general population. It is becoming increasingly common to see patients with MFS in ... Read more >>

Cardiol Rev (Cardiology in review)
[2020, 28(2):92-97]

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Aortic Dissection Risk in Marfan Syndrome.

Mary J Roman, Richard B Devereux,

J. Am. Coll. Cardiol. (Journal of the American College of Cardiology)
[2020, 75(8):854-856]

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