7,115 results match your criteria Dissection Syndromes


Mesenteric Malperfusion In Acute Aortic Dissection: Challenges and Frontiers.

Semin Thorac Cardiovasc Surg 2019 Apr 10. Epub 2019 Apr 10.

Department of Cardiac Thoracic surgery, Belivers Church Medical College Hospital, Thruvalla, India.

Malperfusion syndrome results from end-organ ischemia in the setting of an aortic dissection. Malperfusion syndrome can affect any vascular bed with mesenteric malperfusion (MMP) being the most challenging associated with a 3- to 4-fold increase in mortality in both acute type A and B aortic dissections. The incidence MMP is between 66 to 100% in different literature. Read More

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http://dx.doi.org/10.1053/j.semtcvs.2019.03.012DOI Listing
April 2019
2 Reads

Non-specific chest pain and subsequent serious cardiovascular readmissions.

Int J Cardiol 2019 Apr 2. Epub 2019 Apr 2.

Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, UK; Royal Stoke University Hospital, Stoke-on-Trent, UK. Electronic address:

Background: The rates of readmission for serious cardiovascular events among patients admitted with a diagnosis of non-specific chest pain are unknown.

Methods: A national retrospective cohort study in the United States was undertaken to evaluate the rates, trends and predictors of readmission for serious cardiovascular events (acute coronary syndrome (ACS), pulmonary embolism (PE) and aortic dissection (AD)) after an inpatient episode with a primary diagnosis of non-specific chest pain.

Results: Among 1,172,430 patients with an index diagnosis of non-specific chest pain between 2010 and 2014, 2. Read More

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http://dx.doi.org/10.1016/j.ijcard.2019.04.001DOI Listing
April 2019
2 Reads

Ischemia-related vascular complications of percutaneously initiated venoarterial extracorporeal membrane oxygenation: Indication setting, risk factors, manifestation and outcome.

J Crit Care 2019 Apr 3;52:58-62. Epub 2019 Apr 3.

Department of Anesthesiology, University Medical Center Regensburg, Franz Josef Strauss Allee 11, 93053 Regensburg, Germany. Electronic address:

Purpose: Venoarterial (VA) ECMO is widely accepted as salvage therapy for cardio-respiratory or cardiac failure. Vascular complications from cannulation are common and potentially life-threatening. Here, we retrospectively analyzed vascular complications following VA ECMO therapy. Read More

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http://dx.doi.org/10.1016/j.jcrc.2019.04.002DOI Listing
April 2019
1 Read

Proximal aorta longitudinal strain predicts aortic root dilation rate and aortic events in Marfan syndrome.

Eur Heart J 2019 Apr 11. Epub 2019 Apr 11.

Department of Cardiology, Hospital Universitari Vall d'Hebron, CIBER-CV, Vall d'Hebron institut de Recerca, Universitat Autònoma de Barcelona, Paseo Vall d'Hebron 119-129, 08035 Barcelona, Spain.

Aims: Life expectancy in Marfan syndrome patients has improved thanks to the early detection of aortic dilation and prophylactic aortic root surgery. Current international clinical guidelines support the use of aortic root diameter as a predictor of complications. However, other imaging markers are needed to improve risk stratification. Read More

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http://dx.doi.org/10.1093/eurheartj/ehz191DOI Listing
April 2019
1 Read

Management and Outcomes of Aortic Dissection in Pregnancy with Marfan syndrome: A Systematic Review.

Curr Vasc Pharmacol 2019 Apr 8. Epub 2019 Apr 8.

Department of Surgery, Trauma and Vascular Surgery Section, Hamad Medical Corporation, Doha. Qatar.

Background: In Marfan Syndrome (MFS), aortic dilatation is one of the main cardiovascular manifestations which deteriorate due to the physiological changes during pregnancy. We aimed to assess the up-to-date management and outcomes of aortic root dilation and dissection (AoD) in pregnancy with MFS.

Patients And Methods: A systematic review was conducted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Read More

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http://dx.doi.org/10.2174/1570161117666190408164612DOI Listing
April 2019
1 Read
2.966 Impact Factor

Growing teratoma syndrome with porta hepatis involvement - a case report.

Int Med Case Rep J 2019 22;12:75-78. Epub 2019 Mar 22.

Department of Pathology, Drexel University College of Medicine, PA, USA.

Growing teratoma syndrome is a rare entity of tumors, it arises seldomly from ovarian and testicular carcinoma. It presents with disseminating masses of mature teratoma during or following chemotherapy of malignant germ cell tumors. We are reporting a 19-year old presented with recurrent left ovarian mass and supra renal large mass close to the porta hepatis was seen on magnetic resonance imaging. Read More

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http://dx.doi.org/10.2147/IMCRJ.S185572DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434916PMC
March 2019
2 Reads

Management of Complications of Colorectal Submucosal Dissection.

Clin Endosc 2019 Mar 29;52(2):114-119. Epub 2019 Mar 29.

Division of Gastroenterology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher with ESD than with EMR. Read More

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http://dx.doi.org/10.5946/ce.2019.063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453857PMC
March 2019
1 Read

Spontaneous coronary artery dissection: a review of complications and management strategies.

Expert Rev Cardiovasc Ther 2019 Apr 8;17(4):275-291. Epub 2019 Apr 8.

a Division of Cardiology , Vancouver General Hospital , Vancouver , BC , Canada.

Introduction: Spontaneous coronary artery dissection (SCAD) accounts for up to 4% of acute coronary syndromes (ACS) on coronary angiography and predominantly affects women (>90%). SCAD most often occurs in patients with few or no conventional cardiovascular risk factors. This condition remains underdiagnosed due to a lack of awareness among health-care providers and misdiagnosis on coronary angiography. Read More

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http://dx.doi.org/10.1080/14779072.2019.1598261DOI Listing
April 2019
5 Reads

Spontaneous coronary artery dissection with left ventricular thrombus.

Proc (Bayl Univ Med Cent) 2019 Jan 20;32(1):99-100. Epub 2018 Dec 20.

Section of Cardiology, Baylor Scott & White Medical CenterRound RockTexas.

Spontaneous coronary artery dissection (SCAD) is a rare, nonatherosclerotic cause of acute coronary syndrome. The etiology is unclear, and optimal treatment for SCAD remains undefined. We describe a patient with significant cardiovascular risk factors who presented with SCAD resulting in anterior wall acute myocardial infarction with left ventricular thrombus. Read More

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http://dx.doi.org/10.1080/08998280.2018.1507974DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442885PMC
January 2019
1 Read

Nivolumab-induced type 1 diabetes mellitus as an immune-related adverse event.

Authors:
Mesut Yilmaz

J Oncol Pharm Pract 2019 Apr 7:1078155219841116. Epub 2019 Apr 7.

Medical Oncology Department, Bakırköy Sadi Konuk Training and Research Hospital, Bakırköy, İstanbul.

Background: Immune checkpoint inhibitors are medications that activate anti-tumor responses by disrupting the inhibitory signaling to T cells. Nivolumab is an immune checkpoint inhibitor that selectively blocks the programmed cell death-1 (PD-1). Anti-PD-1 agents can breach immunologic tolerance. Read More

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http://dx.doi.org/10.1177/1078155219841116DOI Listing
April 2019
1 Read

Acute coronary syndrome with elevation of ST associated with ergotamine abuse.

Rom J Intern Med 2019 Mar;57(1):69-71

Department of Cardiology and Physiology, Universitary Hospital, Universidad Abierta Interamericana,Faculty of Medicine, Buenos Aires, Argentine.

There are few case reports of cases of carotid and aortic dissection related to the ergotamine abuse, but the cases that affect the coronary arteries is a very rare coronary. We present a patient of a 48-year-old female with an ST-segment elevation myocardial infarction attributable to chronic ergotamine use. The coronary angiography showed dissection of right coronary artery proximal. Read More

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http://dx.doi.org/10.2478/rjim-2018-0023DOI Listing
March 2019
1 Read

Hybrid Approach as The Rescuer of Malperfusion Syndrome in Acute type I Aortic Dissection: A New Hope?

Authors:
Joon Bum Kim

Semin Thorac Cardiovasc Surg 2019 Apr 4. Epub 2019 Apr 4.

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-dong Songpa-gu, Seoul, 138-736, South Korea. Electronic address:

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http://dx.doi.org/10.1053/j.semtcvs.2019.04.001DOI Listing
April 2019
2 Reads

Spontaneous coronary artery dissection: An often unrecognized cause of acute coronary syndrome.

Cleve Clin J Med 2019 Apr;86(4):252-256

Department of Medicine, Division of Cardiology, University of Tennessee Health Science Center, Memphis, TN, USA.

Spontaneous coronary artery dissection (SCAD), an intramural hemorrhage leading to a separation of the layers of the coronary artery wall, is traditionally considered a rare condition associated mainly with pregnancy but is likely underdiagnosed in other settings. Its recognition by coronary angiography is key. Medical management is usually indicated, except in certain circumstances in which coronary artery bypass grafting or percutaneous coronary intervention should be considered. Read More

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http://dx.doi.org/10.3949/ccjm.86a.18078DOI Listing
April 2019
2 Reads

An unusual case of unilateral supernumerary extensor carpi radialis muscle.

Folia Morphol (Warsz) 2019 Apr 5. Epub 2019 Apr 5.

Pediatric Surgery Clinic of Emergency Children's Hospital, Doctor Iosif Nemoianu 2, 300011 Timisoara, Romania.

An uncommon anatomical variant of muscle was found during the dissection of the forearm region, that can be considered as a supernumerary extensor carpi radialis muscle. The identified extensor carpi radialis muscle has origin on the lateral supraepicondylar ridge of the humerus, and an unusual insertion on the tubercle of the scaphoid bone. The presence of this supernumerary muscle may cause diagnostic errors in the forearm region, and can produce a debilitating pain syndrome by secondary compression of adjacent nerves, vessels or tendons due to its course along the anterior compartment of the forearm. Read More

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http://dx.doi.org/10.5603/FM.a2019.0037DOI Listing
April 2019
2 Reads

A Longitudinally Extensive Spinal Cord Lesion Restricted to Gray Matter in an Adolescent Male.

Front Neurol 2019 20;10:270. Epub 2019 Mar 20.

Department of Pediatrics, New York University School of Medicine, New York, NY, United States.

Longitudinally extensive spinal cord lesions (LECL) restricted to gray matter are poorly understood as are their neurodevelopmental repercussions in children. We herein report the critical case of a 13-year-old male presenting with progressive quadriparesis found to have cervical LECL restricted to the anterior horns. Challenged with a rare diagnostic dilemma, the clinical team systematically worked through potential vascular, genetic, infectious, rheumatologic, and paraneoplastic diagnoses before assigning a working diagnosis of acute inflammatory myelopathy. Read More

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https://www.frontiersin.org/article/10.3389/fneur.2019.00270
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http://dx.doi.org/10.3389/fneur.2019.00270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435483PMC
March 2019
3 Reads

Pregnancy with Loeys Dietz: Care informed by case series.

Authors:
Torri Metz

BJOG 2019 Apr 4. Epub 2019 Apr 4.

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Utah Health, Salt Lake City, UT.

Loeys Dietz syndrome (LDS) is a rare autosomal-dominant connective tissue disorder characterized by vascular abnormalities including thoracic aortic aneuryms, cleft palate, hypertelorism and arterial tortuosity. Women with LDS are at risk for pregnancy complications including aortic dissection, preterm birth, postpartum hemorrhage and possibly uterine rupture. This article is protected by copyright. Read More

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http://dx.doi.org/10.1111/1471-0528.15697DOI Listing
April 2019
2 Reads

The parapharyngeal adipose corpus: anatomic and radiologic study.

Surg Radiol Anat 2019 Apr 3. Epub 2019 Apr 3.

Anatomy, University Paris Diderot, 75010, Paris, France.

Purpose: Although the morphology of the parapharyngeal adipose corpus (PAC) has been already described, the clinical interest of its volume and weight in the genesis of obstructive sleep apnea syndrome (OSAS) is still controversial. The volume of the PAC has been determined in OSAS patients but not in a normal population. The aim of our study was to investigate the morphology of the PAC by dissection and MRI in a normal population and to determine if there is a relation between the dimensions and volume of the PAC and the Body Mass Index (BMI). Read More

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http://dx.doi.org/10.1007/s00276-019-02230-xDOI Listing
April 2019
6 Reads

Chronic lung allograft dysfunction: light at the end of the tunnel?

Curr Opin Organ Transplant 2019 Apr 1. Epub 2019 Apr 1.

Department of Chronic Diseases, Metabolism and Aging, KU Leuven.

Purpose Of Review: Chronic lung allograft dysfunction (CLAD) has been recently introduced as an umbrella-term encompassing all forms of chronic pulmonary function decline posttransplant with bronchiolitis obliterans syndrome and restrictive allograft syndrome as the most important subtypes. Differential diagnosis and management, however, remains complicated.

Recent Findings: Herein, we provide an overview of the different diagnostic criteria (pulmonary function, body plethysmography and radiology) used to differentiate bronchiolitis obliterans syndrome and restrictive allograft syndrome, their advantages and disadvantages as well as potential problems in making an accurate differential diagnosis. Read More

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http://dx.doi.org/10.1097/MOT.0000000000000632DOI Listing
April 2019
6 Reads

Convexal subarachnoid hemorrhage and acute ischemic stroke: a border zone matter?

Neurol Sci 2019 Apr 2. Epub 2019 Apr 2.

Neurology Unit, Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari 'Aldo Moro', Piazza Giulio Cesare 11, 70100, Bari, Italy.

Background: Convexal subarachnoid hemorrhage (c-SAH) is an infrequent condition with variable causes. c-SAH concomitant to acute ischemic stroke (AIS) is even less frequent, and the relationship between the two conditions remains unclear.

Methods: Between January 2016 and January 2018, we treated four patients who were referred to our stroke unit with ischemic stroke and concomitant nontraumatic c-SAH. Read More

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http://dx.doi.org/10.1007/s10072-019-03868-6DOI Listing
April 2019
2 Reads

A sudden turner of events.

J Card Surg 2019 Apr 1. Epub 2019 Apr 1.

Department of Pediatric Cardiology, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisboa, Portugal.

The authors report the case of an 18-year-old woman with Turner Syndrome and aortic coarctation, who developed aortic dissection after percutaneous stenting. Surgical treatment was necessary as the lesion progressed. This case highlights both the importance of awareness as well as multidisciplinary management of this potential complication. Read More

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http://dx.doi.org/10.1111/jocs.14034DOI Listing
April 2019
1 Read

Surgical Outcome of Abdominal Aortic Aneurysm Replacement in Patients with Connective Tissue Disorders under 30 Years of Age.

Ann Vasc Dis 2019 Mar;12(1):50-54

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

: Abdominal aortic aneurysm (AAA) in patients <30 years old is relatively rare. We retrospectively analyzed patients <30 years who received an AAA replacement. : Among 3,003 patients who received an AAA replacement during the last 40 years, 10 patients <30 years old were retrospectively reviewed. Read More

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http://dx.doi.org/10.3400/avd.oa.18-00165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6434353PMC
March 2019
2 Reads

Review of axillary web syndrome: What the radiologist should know.

Eur J Radiol 2019 Apr 4;113:66-73. Epub 2019 Feb 4.

Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medicine, 601 N. Caroline St., Suite 4120, Baltimore, MD, 21287, USA. Electronic address:

Axillary web syndrome is common after axillary surgery, frequently affecting breast cancer patients. In this condition, patients develop one or more linear bands of firm tissue, also known as "cords", in the axilla and arm, associated with pain and limited range of motion of the shoulder and arm. Radiologists may encounter this syndrome in patients referred for axillary or upper extremity ultrasound, and should be aware of the physical examination and ultrasound findings for accurate diagnosis. Read More

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http://dx.doi.org/10.1016/j.ejrad.2019.02.001DOI Listing
April 2019
1 Read

Marfan syndrome: A therapeutic challenge for long-term care.

Biochem Pharmacol 2019 Mar 27;164:53-63. Epub 2019 Mar 27.

INCCI HaerzZenter, Department of Cardiac Surgery, Luxembourg, Luxembourg.

Marfan syndrome (MFS) is an autosomal dominant genetic disorder caused by mutations in the fibrillin-1 gene. Acute aortic dissection is the leading cause of death in patients suffering from MFS and consequence of medial degeneration and aneurysm formation. In addition to its structural function in the formation of elastic fibers, fibrillin has a major role in keeping maintaining transforming growth factor β (TGF-β) in an inactive form. Read More

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http://dx.doi.org/10.1016/j.bcp.2019.03.034DOI Listing
March 2019
3 Reads

[Aortic Intramural Hematoma: a Challenging Diagnosis].

Dtsch Med Wochenschr 2019 Apr 29;144(7):484-488. Epub 2019 Mar 29.

Abteilung für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Würzburg.

History And Clinical Findings:  A 75-year-old woman was admitted to our institution for acute abdominal pain. She had a history of atrial fibrillation, pacemaker implantation and diastolic heart failure. At time of admission, she was under oral anticoagulation therapy with apixaban. Read More

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http://dx.doi.org/10.1055/a-0851-2226DOI Listing
April 2019
1 Read

Minimal Scar Dissection for Partial Parotidectomy via a Modified Cosmetic Incision and an Advanced Wound Closure Method.

J Oral Maxillofac Surg 2019 Mar 2. Epub 2019 Mar 2.

Department Head, Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, China. Electronic address:

Purpose: To evaluate the usefulness of the modified cosmetic incision (MCI) and advanced wound closure method in partial parotidectomy by comparison with the modified Blair incision (MBI).

Patients And Methods: This study retrospectively enrolled 44 patients who underwent partial parotidectomy for benign parotid tumors. These patients were divided into 2 groups: MCI group and MBI group. Read More

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http://dx.doi.org/10.1016/j.joms.2019.02.036DOI Listing

The current role of echocardiography in acute aortic syndrome.

Echo Res Pract 2019 Jun;6(2):R53-R63

Cardiovascular Imaging Department, University Hospital Vall d'Hebron, CIBER-CV, Barcelona, Spain.

Acute aortic syndrome (AAS) comprises a range of interrelated conditions caused by disruption of the medial layer of the aortic wall, including aortic dissection, intramural haematoma and penetrating aortic ulcer. Since mortality from AAS is high, a prompt and accurate diagnosis using imaging techniques is paramount. Both transthoracic (TTE) and transoesophageal echocardiography (TEE) are useful in the diagnosis of AAS. Read More

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http://dx.doi.org/10.1530/ERP-18-0058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6454227PMC
June 2019
1 Read

[Aortic aneurism dissection in an adult patient with tuberculosis infected with HIV-1 during immune reconstitution inflammatory syndrome].

Pan Afr Med J 2018 4;31:10. Epub 2018 Sep 4.

Programme PAC-CI, site ANRS de Côte d'Ivoire, CHU de Treichville, Abidjan, Côte d'Ivoire.

We here report the case of a 35-year old man with HIV-1 but with no previous medical-surgical history hospitalized in Abidjan, Côte d'Ivoire, due to fever, cough, dyspnea, chest pain and unfolding of the aortic arch observed on chest x-ray a week after having started antiretroviral therapy (ART). CT angiography of the thoracic aorta showed overall, extended aortic ectasia with mural thrombus. Transesophageal echocardiography objectified type A ascending aortic dissection (Stanford classification). Read More

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http://dx.doi.org/10.11604/pamj.2018.31.10.12824DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430942PMC
April 2019
1 Read

Ischemic Stroke Secondary to Stylocarotid Variant of Eagle Syndrome.

Neurohospitalist 2019 Apr 4;9(2):105-108. Epub 2018 Sep 4.

Division of Stroke and Vascular Neurology, Mercy Health Hauenstein Neurosciences, Grand Rapids, MI, USA.

Eagle syndrome is a rare cause of stroke and results as a complication of the elongated styloid process (ESP), which can cause carotid dissection and consequent ischemic stroke. We report a case of a 42-year-old woman with a past medical history of rheumatoid arthritis who developed left hemispheric ischemic stroke after deep tissue massage. Imaging studies revealed an intimal tear of the left carotid artery bulb and bilaterally ESPs, measuring approximately 6 cm on the right and 4. Read More

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http://dx.doi.org/10.1177/1941874418797763DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6429680PMC
April 2019
3 Reads

Acute Aortic Dissection in Young Adult Patients: Clinical Characteristics, Management, and Perioperative Outcomes.

J Invest Surg 2019 Mar 25:1-7. Epub 2019 Mar 25.

f Department of Cardiovascular Surgery , Beijing Anzhen Hospital of Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases, and Beijing Engineering Research Center of Vascular Prostheses , Beijing , China.

Background: Acute aorta dissection (AD) is a fatal emergency, however, studies addressing the clinical characteristics, management, and outcome of acute AD in young adult patients aged under 45 years in China are very few.

Methods: A retrospective study including 490 patients with acute AD as the final diagnosis was conducted. Patients' demographics, clinical characteristics, medical history, and laboratory and diagnostic imaging findings were retrieved from medical records. Read More

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http://dx.doi.org/10.1080/08941939.2018.1489916DOI Listing
March 2019
1 Read

A simple intervention to reduce your chance of missing an acute aortic dissection.

CJEM 2019 Mar 25:1-4. Epub 2019 Mar 25.

‡Department of Emergency Medicine,the Ottawa Hospital Research Institute, University of Ottawa,Ottawa,ON.

ABSTRACTIntroductionAcute aortic dissection (AAD) is a time sensitive, difficult to diagnose, aortic emergency. We sought to explore the quality of history taking in AAD and assess its impact on misdiagnosis.

Methods: We studied a retrospective cohort of patients >18 years old who presented to two tertiary care emergency departments from January 1st 2004 - December 31st 2012 and were diagnosed with an acute aortic dissection (AAD) on CT, MRI or TEE. Read More

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https://www.cambridge.org/core/product/identifier/S148180351
Publisher Site
http://dx.doi.org/10.1017/cem.2019.1DOI Listing
March 2019
10 Reads

Triple and quadruple cervical artery dissections: a systematic review of individual patient data.

J Neurol 2019 Mar 23. Epub 2019 Mar 23.

Department of Neurology, Amsterdam UMC, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.

Background And Purpose: Simultaneous dissection of three or four cervical arteries rarely occurs. As a result, limited information is available on clinical characteristics, underlying causes, treatment, and outcome of these patients.

Methods: We performed a systematic review of individual patient data on triple and quadruple cervical artery dissection (CeAD). Read More

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http://link.springer.com/10.1007/s00415-019-09269-1
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http://dx.doi.org/10.1007/s00415-019-09269-1DOI Listing
March 2019
6 Reads

Axillary web syndrome: Incidence, pathogenesis, and management.

Curr Probl Cancer 2019 Mar 15. Epub 2019 Mar 15.

Second Department of Obstetrics and Gynecology, Medical School, Aristotle University Thessaloniki, Thessaloniki, Greece.

Axillary web syndrome (AWS) refers to the development of fibrotic bands or "cords" in the axilla of patients who have undergone axillary lymph node dissection for breast cancer. We review the incidence, pathogenesis, risk factors, and management of AWS. AWS is a common complication in patients who undergo axillary lymph node dissection. Read More

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http://dx.doi.org/10.1016/j.currproblcancer.2019.02.002DOI Listing
March 2019
4 Reads

Leading symptoms in cerebrovascular diseases: what about headache?

Neurol Sci 2019 Mar 20. Epub 2019 Mar 20.

Department of Neuroscience, Neurology and Stroke Unit, ASST GOM Niguarda Cà Granda Hospital, Piazza Ospedale Maggiore 3, 20162, Milan, Italy.

Headache is a milestone in cerebrovascular disorders; indeed, it may represent the only symptom at onset or predominates over the other neurological features. Unfortunately, headache associated with cerebrovascular diseases lacks clear-cut characteristics as it may resemble a migraine attack, tension-type headache, or cluster headache; pain localization is also misleading along with drug (analgesic) response. However, in this review, we have analyzed and described the most common patterns of headache for different vascular disorders: it is known that headache due to subarachnoid aneurysmal hemorrhage presents peculiar characteristics (thunderclap, acute presentation, and high intensity), whereas in cerebral vasoconstriction syndrome, the short duration and the relapsing-remitting course of the thunderclap headache are key points for the diagnosis; in cervicocerebral artery, dissection pain is most commonly ipsilateral to the dissected vessel and is mainly perceived in the temporal area in case of carotid artery dissection and in the occipital area in case of vertebral artery dissection; in cerebral venous thrombosis, pain is often acute or subacute and severe; unfortunately, it may resemble a typical migraine attack or a tension-type episode; by the contrary, in primary angiitis of the central nervous system, pain is always subacute or chronic with mild-to-moderate intensity; finally, in brain arteriovenous shunts such as malformation or fistula, pain is more frequently a clue for disease complication such as hemorrhage from the malformation or thrombosis of the draining vein. Read More

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http://link.springer.com/10.1007/s10072-019-03793-8
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http://dx.doi.org/10.1007/s10072-019-03793-8DOI Listing
March 2019
4 Reads

A risk-benefit assessment strategy to exclude cervical artery dissection in spinal manual-therapy: a comprehensive review.

Ann Med 2019 Mar 19:1-10. Epub 2019 Mar 19.

a Head and Neck Research Group, Research Centre, Akershus University Hospital , Oslo , Norway.

Cervical artery dissection refers to a tear in the internal carotid or the vertebral artery that results in an intramural haematoma and/or an aneurysmal dilatation. Although cervical artery dissection is thought to occur spontaneously, physical trauma to the neck, especially hyperextension and rotation, has been reported as a trigger. Headache and/or neck pain is the most common initial symptom of cervical artery dissection. Read More

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http://dx.doi.org/10.1080/07853890.2019.1590627DOI Listing
March 2019
2 Reads

Exercise and sports participation in patients with thoracic aortic disease: a review.

Expert Rev Cardiovasc Ther 2019 Apr 21;17(4):251-266. Epub 2019 Mar 21.

a Department of Cardiology , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.

Introduction: Current guidelines recommend patients with thoracic aortic disease (TAD) including inherited aortopathies to avoid heavy exercise. However, evidence supporting the negative advice on exercise is scarce. We aimed to provide an up-to-date systematic review of the available evidence on risks and benefits of exercise and sports participation in TAD patients. Read More

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http://dx.doi.org/10.1080/14779072.2019.1585807DOI Listing
April 2019
3 Reads

Inactivation of a CRF-dependent amygdalofugal pathway reverses addiction-like behaviors in alcohol-dependent rats.

Nat Commun 2019 03 18;10(1):1238. Epub 2019 Mar 18.

Department of Neuroscience, The Scripps Research Institute, La Jolla, CA, 92037, USA.

The activation of a neuronal ensemble in the central nucleus of the amygdala (CeA) during alcohol withdrawal has been hypothesized to induce high levels of alcohol drinking in dependent rats. In the present study we describe that the CeA neuronal ensemble that is activated by withdrawal from chronic alcohol exposure contains ~80% corticotropin-releasing factor (CRF) neurons and that the optogenetic inactivation of these CeA CRF+ neurons prevents recruitment of the neuronal ensemble, decreases the escalation of alcohol drinking, and decreases the intensity of somatic signs of withdrawal. Optogenetic dissection of the downstream neuronal pathways demonstrates that the reversal of addiction-like behaviors is observed after the inhibition of CeA CRF projections to the bed nucleus of the stria terminalis (BNST) and that inhibition of the CRF pathway is mediated by inhibition of the CRF-CRF system and inhibition of BNST cell firing. Read More

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http://dx.doi.org/10.1038/s41467-019-09183-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6423296PMC
March 2019
4 Reads

Oral tongue cancer in a patient with hereditary nonpolyposis colorectal cancer: A case report and review of the literature.

Oral Oncol 2019 Mar 15. Epub 2019 Mar 15.

Department of Otolaryngology, Loyola University Medical Center, Maywood, IL, United States.

Hereditary nonpolyposis colorectal cancer (HNPCC) is an autosomal dominant disorder characterized by mutations of mismatch repair genes leading to the early development of multiple malignancies. The most common malignancy is colorectal cancer but there is a strong association with malignancies of the ovary, endometrium, small intestine, stomach, skin, brain, and pancreas. We report a case of a 35-year-old female with a history of known HNPCC who presented with adenocarcinoma of the small intestine as well as a synchronous oral tongue squamous cell carcinoma. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2019.03.008DOI Listing
March 2019
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Successful Resuscitation Using Extracorporeal Membrane Oxygenation of 2 Patients With Severe Liver Rupture: A Case Report.

A A Pract 2019 Mar 14. Epub 2019 Mar 14.

Anesthesiology and Critical Care Medicine.

Extracorporeal membrane oxygenation is a rescue treatment for respiratory or cardiac failure. Its use is limited in patients predisposed to bleeding due to heparin administration. We present 2 patients with deranged coagulation after liver rupture successfully treated by extracorporeal membrane oxygenation. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000996DOI Listing
March 2019
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Clinical characteristics and long-term prognosis of spontaneous coronary artery dissection: A single-center Chinese experience.

Pak J Med Sci 2019 Jan-Feb;35(1):106-112

Xi Su, Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan University of Science and Technology, Wuhan, China.

Background And Objective: Spontaneous coronary artery dissection (SCD) remains a rare and important cause of coronary artery disease (CAD). The purpose of this study was to describe the clinical and angiographic features in SCD and to evaluate the treatment and long-term prognosis of this condition in China.

Methods: This retrospective cohort study included 118 Chinese patients with SCD confirmed by coronary angiography. Read More

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http://dx.doi.org/10.12669/pjms.35.1.321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408650PMC
March 2019
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The Thunderclap Headache: Approach and Management in the Emergency Department.

J Emerg Med 2019 Mar 14. Epub 2019 Mar 14.

Department of Emergency Medicine, Brooke Army Military Medical Center, Fort Sam Houston, Texas.

Background: A thunderclap headache (TCH) is a severe headache reaching at least 7 (out of 10) in intensity within 1 min of onset, and can be the presenting symptom of several conditions with potential for significant morbidity and mortality.

Objective Of The Review: This narrative review evaluates the various conditions that may present with TCH and proposes a diagnostic algorithm for patients with TCH.

Discussion: TCH is a symptom associated with several significant diseases. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.01.026DOI Listing
March 2019
7 Reads

Spontaneous Coronary Artery Dissection: Pathophysiological Insights From Optical Coherence Tomography.

JACC Cardiovasc Imaging 2019 Mar 8. Epub 2019 Mar 8.

Department of Cardiovascular Sciences, Glenfield Hospital, Leicester, United Kingdom, and National Institute for Health Research Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, United Kingdom. Electronic address:

Objectives: This study used optical coherence tomography to investigate the mechanism of false lumen (FL) formation in spontaneous coronary artery dissection (SCAD) by studying: 1) differences between fenestrated and nonfenestrated SCAD; 2) vasa vasorum density; and 3) light attenuation characteristics of the FL.

Background: SCAD is an increasingly recognized cause of acute coronary syndromes, characterized by FL formation and compression of the true lumen (TL). The mechanisms underlying FL formation remain poorly understood. Read More

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http://dx.doi.org/10.1016/j.jcmg.2019.01.015DOI Listing

Secondary breast angiosarcoma: A multicentre retrospective survey by the national Italian association of Breast Surgeons (ANISC).

Breast 2019 Mar 7;45:56-60. Epub 2019 Mar 7.

IEO, Milano, Italy.

Background: Breast angiosarcoma is a malignant mesenchymal neoplasm, which accounts for approximately 2% of all soft tissue sarcomas. Secondary breast angiosarcoma (SBA) may be related to chronic lymphedema after a mastectomy with lymph node dissection (Stewart Treves syndrome) and previous radiotherapy for complications from breast radiation treatment. It is a very rare condition; therefore, diagnosis and management are still a challenge. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09609776193003
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http://dx.doi.org/10.1016/j.breast.2019.02.011DOI Listing
March 2019
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An unusual thrombosis of an ostial left internal mammary artery graft causing acute coronary syndrome five years after coronary bypass surgery.

Turk Kardiyol Dern Ars 2019 03;47(2):137-139

Department of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey.

For long-term patency, a left internal mammary artery (LIMA) graft is considered the gold standard for left anterior descending artery (LAD) revascularization. Subsequent occlusion of a LIMA graft may be related to atherosclerosis, narrowing at anastomotic locations, fixed torsions within the graft, straight tubular stenosis, dissection, or vasospasm. Late thrombotic occlusion of a LIMA, however, is rare, and the cause is not known, though case reports can be found in the literature. Read More

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http://dx.doi.org/10.5543/tkda.2018.71643DOI Listing

Isolated superior mesenteric artery dissection and median arcuate ligament syndrome.

J Gen Fam Med 2019 Mar 3;20(2):74-76. Epub 2019 Jan 3.

Division of General Internal Medicine Department of Internal Medicine St. Marianna University School of Medicine Kawasaki Kanagawa Japan.

Our case underscores the importance of recognizing MALS not only as a cause of postprandial epigastric pain but a rare facilitating factor in the development of isolated SMA dissection. Read More

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http://dx.doi.org/10.1002/jgf2.232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399590PMC

Chronic spontaneous coronary artery dissection in association with antiphospholipid syndrome presenting as stable angina.

BMJ Case Rep 2019 Mar 14;12(3). Epub 2019 Mar 14.

Department of Cardiology, University Hospital Limerick, Limerick, Ireland.

A 52-year-old man presented to our cardiology service for an elective diagnostic coronary angiogram for risk stratification in the context of stable angina. He was diagnosed with antiphospholipid syndrome 2 years prior and had three known thrombotic episodes in the form of a stroke, retinal artery occlusion and deep vein thrombosis. Our initial differential was atherosclerotic coronary artery disease, however, coronary angiography demonstrated a dominant right coronary artery with a long segment of chronic spontaneous dissection distally but with thrombolysis in myocardial infarction III flow. Read More

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http://dx.doi.org/10.1136/bcr-2018-227674DOI Listing
March 2019
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Bicuspid aortic valve, atherosclerosis and changes of lipid metabolism: Are there pathological molecular links?

Authors:
Paolo Magni

J Mol Cell Cardiol 2019 Mar 11;129:231-235. Epub 2019 Mar 11.

Dipartimento di Scienze Farmacologiche e Biomolecolari, Universita' degli Studi di Milano, Via Balzaretti 9, 20133 Milano, Italy; IRCCS MultiMedica, via Milanese 300, 20099, Sesto S. Giovanni, Milano, Italy. Electronic address:

Bicuspid aortic valve (BAV) is recognized as a syndrome including aortic valve diseases and aortic wall alterations, such as aortic dilatation, dissection and rupture, but also coronary atherosclerosis. The current evidence, although partially controversial, suggests that several molecular mechanisms promoting atherosclerosis are activated in BAV patients and are involved in the progression of the related diseases, from aortic stenosis to aortopathies, along with altered hemodynamics. Among these factors, dyslipidemia (i. Read More

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http://dx.doi.org/10.1016/j.yjmcc.2019.03.004DOI Listing

The natural history of type B aortic dissection in patients with PRKG1 mutation c.530G>A (p.Arg177Gln).

J Vasc Surg 2019 Mar 11. Epub 2019 Mar 11.

Division of Medical Genetics, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Tex.

Objective: The c.530G>A (p.Arg177Gln) mutation in PRKG1 has been shown to be associated with thoracic aortic aneurysms and dissections. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.032DOI Listing
March 2019
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Extracapsular dissection versus partial superficial parotidectomy for the treatment of benign parotid tumours.

Int J Oral Maxillofac Surg 2019 Mar 11. Epub 2019 Mar 11.

Department of Stomatology, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China. Electronic address:

The purpose of this study was to compare the complications of patients treated for a benign parotid tumour (BPT) by extracapsular dissection (ECD) vs. partial superficial parotidectomy (PSP). A comprehensive literature investigation was conducted by searching electronic databases. Read More

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http://dx.doi.org/10.1016/j.ijom.2019.01.030DOI Listing
March 2019
3 Reads

Postpartum aortic dissection. A case report and review of literature.

Int J Surg Case Rep 2019 6;56:101-106. Epub 2019 Mar 6.

Surgical Science Department, Policlinico Umberto I, University of Rome "La Sapienza", Rome, Italy; Cardiac Surgery Unit, Cardiovascular, Respiratory, Nefrologic and Geriatric Department, Policlinico Umberto I, University of Rome "La Sapienza", Rome, Italy.

Introduction: Aortic dissection is a rare cardiovascular complication in pregnancy. Most of the cases occur during the third trimester of pregnancy, whilst 33% of cases are reported during the postpartum period.

Presentation Of Case: We report the case of a multiparous 35-year-old patient with gestational hypertension treated for a type A aortic dissection on the second postpartum day. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.02.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425083PMC
March 2019
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Spontaneous perforation of small intestine followed by rupture of the cystic artery: the natural history of Vascular Ehlers-Danlos Syndrome.

Autops Case Rep 2019 Jan-Mar;9(1):e2018054. Epub 2019 Jan 17.

Mount Sinai Medical Center, AM Rywlin MD Department of Pathology and Laboratory Medicine. Miami Beach, FL, United States of America.

Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant disorder caused by mutations in the or genes. Its mortality is secondary to sudden and spontaneous rupture of arteries or hollow organs. The genotype influences the distribution of arterial pathology with aneurysms of intra-abdominal visceral arteries being relatively uncommon. Read More

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http://www.autopsyandcasereports.org/article/doi/10.4322/acr
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http://dx.doi.org/10.4322/acr.2018.054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394365PMC
January 2019
8 Reads