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Case 1/2014--syncope due to cardiogenic shock in a 25-year-old male patient.

Politi TR, Gutierrez P - Arq. Bras. Cardiol. (2014)

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Surgical treatment of the aortic dissection was indicated; however, the patient had progresses to the abdominal aorta with a varying extent... In this case, we found a type-A It can also be associated with dyspnea and pulmonary edema... Fever may accompany a third of the patients with dissecting aneurysms, and is generally not associated with supracoronary tube, of which in-hospital mortality rate varies, ranging between 10 and Unfortunately, this patient did not survive long enough to undergo such treatment. (Dr. Tiago Rodrigues Politi) ascending aorta dissection. (Dr. Tiago Rodrigues Politi) Systemic arterial hypertension, ascending aorta aneurysm, cardiac tamponade. (Dr... The patient had signs of hypertension such as alterations in renal microcirculation, as The patient's age suggested a genetic syndrome underlying the dissection, but he had no It is an unusual complication of acute aortic dissection, which does not appear even in some fairly comprehensive anatomopathological descriptions of this disease. (Dr. Paulo Gutierrez) Acute aortic dissection and aortic obstruction by the internal lamina of the sliced

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(A) Open ascending aorta showing the dissection with the inner layer of thearterial wall protruding into the valve plane. The white arrow shows this region,with the section taken for histological analysis. The light blue arrow indicatesthe tear that defines the dissection orifice, in this case affecting the entirecircumference of the artery - artistic illustration of the pathological process.The arrow indicates a clot in false lumen, pushing down the inner part of theaortic wall. LA: left atrium; AV: aortic valve; LV: left ventricle.
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f04: (A) Open ascending aorta showing the dissection with the inner layer of thearterial wall protruding into the valve plane. The white arrow shows this region,with the section taken for histological analysis. The light blue arrow indicatesthe tear that defines the dissection orifice, in this case affecting the entirecircumference of the artery - artistic illustration of the pathological process.The arrow indicates a clot in false lumen, pushing down the inner part of theaortic wall. LA: left atrium; AV: aortic valve; LV: left ventricle.

Mentions: Acute aortic dissection is a cardiovascular emergency with high mortality, ranging from50 to 68% in 48 hours, 70% at 1 week and 85% in 1 month1. The intimal tear is transversal, located in 70% of casesin the aorta ascending (just above the aortic valve), 20% in the descending aorta afterthe aortic arch, and 10% in the transverse aorta. Once started, the dissectionprogression can be distal, retrograde or occur in both directions and be of varyingextension1,2. In the present case, the aortic dissection started inthe ascending portion, retrograde, with bending of the anterior plan between the trueand false lumen, generating a mechanical obstruction to the left ventricular outflowtract (Figure 4).


Case 1/2014--syncope due to cardiogenic shock in a 25-year-old male patient.

Politi TR, Gutierrez P - Arq. Bras. Cardiol. (2014)

(A) Open ascending aorta showing the dissection with the inner layer of thearterial wall protruding into the valve plane. The white arrow shows this region,with the section taken for histological analysis. The light blue arrow indicatesthe tear that defines the dissection orifice, in this case affecting the entirecircumference of the artery - artistic illustration of the pathological process.The arrow indicates a clot in false lumen, pushing down the inner part of theaortic wall. LA: left atrium; AV: aortic valve; LV: left ventricle.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3987335&req=5

f04: (A) Open ascending aorta showing the dissection with the inner layer of thearterial wall protruding into the valve plane. The white arrow shows this region,with the section taken for histological analysis. The light blue arrow indicatesthe tear that defines the dissection orifice, in this case affecting the entirecircumference of the artery - artistic illustration of the pathological process.The arrow indicates a clot in false lumen, pushing down the inner part of theaortic wall. LA: left atrium; AV: aortic valve; LV: left ventricle.
Mentions: Acute aortic dissection is a cardiovascular emergency with high mortality, ranging from50 to 68% in 48 hours, 70% at 1 week and 85% in 1 month1. The intimal tear is transversal, located in 70% of casesin the aorta ascending (just above the aortic valve), 20% in the descending aorta afterthe aortic arch, and 10% in the transverse aorta. Once started, the dissectionprogression can be distal, retrograde or occur in both directions and be of varyingextension1,2. In the present case, the aortic dissection started inthe ascending portion, retrograde, with bending of the anterior plan between the trueand false lumen, generating a mechanical obstruction to the left ventricular outflowtract (Figure 4).

View Article: PubMed Central - PubMed

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Surgical treatment of the aortic dissection was indicated; however, the patient had progresses to the abdominal aorta with a varying extent... In this case, we found a type-A It can also be associated with dyspnea and pulmonary edema... Fever may accompany a third of the patients with dissecting aneurysms, and is generally not associated with supracoronary tube, of which in-hospital mortality rate varies, ranging between 10 and Unfortunately, this patient did not survive long enough to undergo such treatment. (Dr. Tiago Rodrigues Politi) ascending aorta dissection. (Dr. Tiago Rodrigues Politi) Systemic arterial hypertension, ascending aorta aneurysm, cardiac tamponade. (Dr... The patient had signs of hypertension such as alterations in renal microcirculation, as The patient's age suggested a genetic syndrome underlying the dissection, but he had no It is an unusual complication of acute aortic dissection, which does not appear even in some fairly comprehensive anatomopathological descriptions of this disease. (Dr. Paulo Gutierrez) Acute aortic dissection and aortic obstruction by the internal lamina of the sliced

Show MeSH
Related in: MedlinePlus