Our review found that the clinical course of patients presenting with ischemia differed from that of patients presenting with pure bleeding. Most of the patients with ischemia underwent progressive deterioration. [ncbi.nlm.nih.gov]

• Chest Pain

  He presented with dyspnea, chest pain and amazing symptom of superior vena cava syndrome. The patient underwent open heart surgery with resection of ascending aorta aneurysm with classic Bentall operation. [ncbi.nlm.nih.gov]

  At 3 weeks after admission, her blood pressure and pulse rate had normalized and her chest pain had fully subsided. [kjim.org]

  Case Presentation A 48 year old Irish Caucasian female presented to our Emergency department with a history of central chest pain radiating to her back in an interscapular region. [casesjournal.biomedcentral.com]

  Chest Pain Accreditation On June 16, 2005, Good Samaritan was given official Chest Pain Center designation by the Society of Chest Pain Centers and recognized for offering state-of-the-art heart care to its patients. [chihealthgoodsamaritan.org]

• Pulse Deficit

  Pulse deficits, including a significant difference in BP in both arms, only occurs in 20% of patients. The 12 lead ECG is only completely normal in 30% of patients with more than 40% having ST segment or T wave changes. [rcemlearning.co.uk]

  Sudden chest or back pain accompanied by pulse deficits, aortic regurgitation, or neurological manifestations should alert the clinician to the diagnosis of acute aortic dissection. [circ.ahajournals.org]

  Pulse deficit may be present initially, may develop, or may occur transiently. There is a difference in blood pressure in limbs on the right and left side of the body. Differential diagnosis Acute coronary syndrome with and without ST elevation. [patient.info]

• Diplopia

  A 61-year old woman presented with vomiting and diplopia with preceding headache. Magnetic resonance imaging (MRI) showed fresh infarction of the left lateral medulla and a vertebral artery dissecting aneurysm of the left vertebral artery. [ncbi.nlm.nih.gov]

  hemianesthesia/no recurrence 15 56/M P1-2 junction(L) small SAH PAO Complete None 3 No GOS   5, no symptom 16 51/F P2(R) large Hemiparesis, hemianesthesia (L) PAO Complete None 6 No GOS   4, mild hemiparesis but return to work 17 47/M P2 (L) large diplopia [cnjournal.biomedcentral.com]

• Back Pain

  She was admitted to hospital with a new onset of back pain. Computed tomography revealed a new dissection tear originating from the distal side of the subclavian artery orifice. [ncbi.nlm.nih.gov]

  Still, you might have: Back pain A deep pain on the side of your abdomen A throbbing sensation near your navel If the aneurysm ruptures, you might feel sick to your stomach, or suddenly develop an intense pain in your back or abdomen. [webmd.com]

  pain, sometimes described as “ripping” or “tearing” Pain that feels like it is moving from one place to another Unusually pale skin Faint pulse Numbness or tingling Paralysis In some instances, there may be no pain but a sense that there is something [marfan.org]

  Patients that experience sudden symptoms such as chest pain, characterized as a tearing sensation, or back pain, nausea, vomiting, a fast heart beat and possibly the feeling of impending doom, may be experiencing a tear or dissection of the aorta. [bcm.edu]

• Wide Neck

  Cerebral angiography showed a dissecting wide neck aneurysm at the anterior pontomesencephalic segment of the right SCA (diameter 1 mm). The patient was treated with coiling assisted by an LVIS Jr. stent. [ncbi.nlm.nih.gov]

  We propose double stent placement as a new, feasible technique for the occlusion of intracranial wide-neck aneurysms, especially pseudoaneurysms. [ajnr.org]

  Second, a stent supports coiling by "remodeling" the neck of an aneurysm and by preventing migration of coil loops from aneurysms, especially from wide neck aneurysms that otherwise could represent an obstacle to treatment. [scielo.br]

• Mild Facial Weakness

  An accomplished mountain climber presented, after coitus, with acute headache, mild facial weakness, and forgetfulness. Vascular imaging studies revealed a right putaminal hemorrhage secondary to a 3-mm lenticulostriate artery dissecting aneurysm. [ncbi.nlm.nih.gov]

• Amenorrhea

  The postoperative course was uneventful, but she continued to demonstrate moon facies and experience amenorrhea. Computed tomography demonstrated an adrenal tumor. [ncbi.nlm.nih.gov]

• Cerebellar Ataxia

  Physical and neurological examinations found headache, vomiting, right perceptive deafness, and right cerebellar ataxia. [ncbi.nlm.nih.gov]

  The patient was discharged with slight cerebellar ataxia. We suggest that some dissecting vertebral aneurysms may induce subarachnoid hemorrhage and infarction coincidentally. [jstage.jst.go.jp]

• Dysarthria

  A 61-year-old man presented with dysarthria and left hemiparesis attributable to a basilar trunk dissecting aneurysm. Antiplatelet therapy was instituted, and the patient's clinical condition markedly improved. [ncbi.nlm.nih.gov]

  One case displayed deficits, dysarthria and dysphagia of the oculomotor nerve and facial nerve after internal trapping of the aneurysm was applied. [medsci.org]

• Ataxia

  Physical and neurological examinations found headache, vomiting, right perceptive deafness, and right cerebellar ataxia. [ncbi.nlm.nih.gov]

  The patient was discharged with slight cerebellar ataxia. We suggest that some dissecting vertebral aneurysms may induce subarachnoid hemorrhage and infarction coincidentally. [jstage.jst.go.jp]

• Convulsions

  Abstract A 15-year-old girl presented with a distal anterior inferior cerebellar artery (AICA) dissecting aneurysm manifesting as sudden onset of general tonic-clonic convulsion while singing a song. [ncbi.nlm.nih.gov]

• Radiculopathy

  A 52-year-old man presented with abdominal pain followed by back pain and radiculopathy from subarachnoid hemorrhage in the spinal canal. The spinal angiogram demonstrated the presence of a dissecting aneurysm of the posterior spinal artery. [ncbi.nlm.nih.gov]

Patients with valvular heart disease undergo workups with echocardiography or coronary angiography. [emedicine.medscape.com]

This time a real workup was done. CT Angiogram shows “filling defect” inside the left middle cerebral artery — filling defect is something inside the artery that shouldn’t be there. [neuroangio.org]

• Colonic Stricture

  Patients with chronic ischemia present with colicky abdominal pain, obstructive symptoms and signs of ischemic colonic stricture. We reported the first case of ischemic colitis arising from a superior rectal artery (SRA) aneurysm. [ncbi.nlm.nih.gov]

We report the case of a patient with a recurrent anterior cerebral artery (ACA) dissecting aneurysm after endovascular treatment. [ncbi.nlm.nih.gov]

BACKGROUND: Management of intracranial basilar dissecting aneurysms has been controversial and challenging, and surgical and conservative treatments usually have a bad prognosis. [ncbi.nlm.nih.gov]

prognosis. 10 Fig. 7 A Hamasaki/2014[62] 56/M 5 Proximal endovascular occlusion,. [medsci.org]

Prognosis evaluated at 3 months after the ictus with the GOS revealed that 21 of 32 patients (66%) in the bleeding group showed poor prognosis, whereas only 2 of 17 patients (12%) of the ischemic group showed poor prognosis. [ahajournals.org]

THE various surgical technics now available for the management of dissecting aneurysm of the aorta have recently been summarized. 1 Alertness and an aggressive approach in diagnosis and treatment will be rewarded with an increasingly favorable prognosis [nejm.org]

However, the prognosis after rupture of RAA has improved in the last few decades. One review documented that the mortality rate dropped from 62% before 1949 to 6% after 1970 [ 10 ]. [casesjournal.biomedcentral.com]

The etiology and location of the lesion and distal flow to the lesion should be taken into consideration when planning the treatment. [ncbi.nlm.nih.gov]

Etiology Although the specific cause of the disease is not known, the lesion that generally is accepted as being precedent to dissecting aneurysm of the aorta is medial degeneration. [mdedge.com]

Although fibromuscular dysplasia is most frequently associated with renal artery dissection, but the etiology remains unclear in many cases as happened in the present case. [casesjournal.biomedcentral.com]

Aortic dissection: epidemiology, pathophysiology, clinical presentation, and medical and surgical management. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 81. [nlm.nih.gov]

He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]

Epidemiology Edit 70% of patients with carotid arterial dissection are between the ages of 35 and 50, with a mean age of 47 years. [1] See also Edit References Edit a b Amal Mattu; Deepi Goyal; Barrett, Jeffrey W.; Joshua Broder; DeAngelis, Michael; Peter [en.m.wikipedia.org]

Aortic dissection: epidemiology, pathophysiology, clinical presentation, and medical and surgical management. In: Sidawy AN, Perler BA, eds. Rutherford's Vascular Surgery and Endovascular Therapy. 9th ed. Philadelphia, PA: Elsevier; 2019:chap 81. [nlm.nih.gov]

[…] subclavian artery Svensson (defines type of acute aortic syndrome) classic dissection with true and false lumen intramural haematoma or haemorrhage subtle dissection without haematoma atherosclerotic penetrating ulcer iatrogenic or traumatic dissection PATHOPHYSIOLOGY [lifeinthefastlane.com]

Because an angulated SMA trunk and compressed true lumen by the dilated false lumen prevented the insertion of a guidewire into the SMA via the transfemoral artery, transmesenteric approach under laparotomy was selected. [ncbi.nlm.nih.gov]