Type A Aortic Dissection With Concurrent Aortic Valve Endocarditis, Subarachnoid Hemorrhage, and Disseminated Intravascular Coagulation

Elde, Stefan; Guenthart, Brandon A.; Biasi, Andreas de; Dalal, Alex R.; Casselman, Katharine G.; Hiesinger, William; Burton, Élan

doi:10.1016/j.jaccas.2021.05.008

Cited by 1 publication

(2 citation statements)

References 10 publications

(11 reference statements)

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“…Two cases of concurrent subarachnoid hemorrhage and acute type-A aortic dissection have been reported. 7,8 In both cases the patient was successfully treated with the emergency repair of the aortic dissection despite the risks of full heparinisation during cardiopulmonary bypass.…”

Section: Concurrent Intracerebral Hemorrhage and Acute Type-a Aorticmentioning

confidence: 99%

“…Concurrent intracerebral hemorrhage and acute type‐A aortic dissection is a very rare presentation and the optimal timing of surgery in these patients is unknown. Two cases of concurrent subarachnoid hemorrhage and acute type‐A aortic dissection have been reported 7,8 . In both cases the patient was successfully treated with the emergency repair of the aortic dissection despite the risks of full heparinisation during cardiopulmonary bypass.…”

Section: Introductionmentioning

confidence: 99%

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Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Hartley

Adams

2022

Journal of Cardiac Surgery

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Acute type‐A aortic dissection is a rare but life‐threatening cardiac surgery emergency. Immediate operative management is important to give patients the best chance of survival. However, where an aortic dissection is complicated by a concurrent hemorrhagic stroke the risks of precipitating a catastrophic intracranial hemorrhage during surgery must be balanced against the risk of aortic rupture. The optimal timing of surgery in this rare presentation of type‐A aortic dissection is unknown. In this case report we describe a 67‐year‐old gentleman who initially presented with neurological symptoms, and was diagnosed with an acute intracerebral hemorrhage, but was subsequently also diagnosed with an acute type‐A aortic dissection. He proceeded to have a successful tissue aortic root replacement, total arch replacement with zone two frozen elephant trunk implantation 4 weeks after his initial diagnosis.

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Section: Concurrent Intracerebral Hemorrhage and Acute Type-a Aorticmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Hartley

Adams

2022

Journal of Cardiac Surgery

View full text Add to dashboard Cite

show abstract

Type A Aortic Dissection With Concurrent Aortic Valve Endocarditis, Subarachnoid Hemorrhage, and Disseminated Intravascular Coagulation

Cited by 1 publication

References 10 publications

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

Type‐A acute aortic dissection complicated by parenchymal hemorrhagic stroke: Timing of surgery for a rare presentation of aortic dissection

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