Current status in decision making to treat acute type A dissection: limited versus extended repair. The Bologna approach

Leone, Alessandro; Murana, Giacomo; Marco, Luca Di; Coppola, Giuditta; Berardi, Marianna; Amodio, Ciro; Botta, Luca; Pacini, Davide

doi:10.23736/s0021-9509.20.11229-1

Cited by 2 publications

(1 citation statement)

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“…It also showed simplicity, consistency, and reproducibility in chronic symptomatic AoD[ 23 ]. However, different schemes and techniques used for the aortic arch replacement in AoD patients are still controversial issues for every cardiac surgeon[ 24 ]. Despite the issues, an accurate assessment of the aortic anatomy has to be performed before any surgical repair is certain, including the extension of the dissection process, the diameters of the aorta, and the exact location between the true and the false lumen.…”

Section: Discussionmentioning

confidence: 99%

Aortic dissection with epileptic seizure: A case report

Zheng¹,

Huang²,

Chen³

et al. 2022

World J Clin Cases

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BACKGROUND Aortic dissection (AoD) is a life-threatening disease. Its diversified clinical manifestations, especially the atypical ones, make it difficult to diagnose. The epileptic seizure is a neurological problem caused by various kinds of diseases, but AoD with epileptic seizure as the first symptom is rare. CASE SUMMARY A 53-year-old male patient suffered from loss of consciousness for 1 h and tonic-clonic convulsion for 2 min. The patient performed persistent hypomania and chest discomfort for 30 min after admission. He had a history of hypertension without regular antihypertensive drugs, and the results of his bilateral blood pressure varied greatly. Then the electroencephalogram showed the existence of epileptic waves. The thoracic aorta computed tomography angiography showed the appearance of AoD, and it originated at the lower part of the ascending aorta. Finally, the diagnosis was AoD (DeBakey, type I), acute aortic syndrome, hypertension (Grade 3), and secondary epileptic seizure. He was given symptomatic treatment to relieve symptoms and prevent complications. Thereafter, the medical therapy was effective but he refused our surgical advice. CONCLUSION The AoD symptoms are varied. When diagnosing the epileptic seizure etiologically, AoD is important to consider by clinical and imaging examinations.

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Section: Discussionmentioning

confidence: 99%