Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

650
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
650
The Arch of Aorta01:10

The Arch of Aorta

2.2K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
2.2K
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

1.6K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.6K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

1.2K
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
1.2K
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

478
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
478

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Management of Harlequin syndrome in veno-arterial extracorporeal membrane oxygenation.

Indian journal of thoracic and cardiovascular surgery·2026
Same author

Advancing Hope Through Science: The Inaugural Richard Slayman International Workshop on Xenotransplantation.

Transplantation·2026
Same author

Establishing an Interventional Radiology Service for Intracranial Aneurysms: Early Outcomes from Nigeria's First Cohort.

Journal of vascular and interventional radiology : JVIR·2026
Same author

Cardiothoracic Transplant Surgery and Enhanced Recovery: Recent Advances and Perspectives.

Journal of clinical medicine·2026
Same author

Performance Evaluation of a Commercial Deep Learning Software for Detecting Intracranial Hemorrhage in a Pediatric Population.

Journal of imaging informatics in medicine·2026
Same author

Imaging of Cardiac and Nonaortic Thoracic Vascular Trauma.

Radiographics : a review publication of the Radiological Society of North America, Inc·2026

Related Experiment Video

Updated: May 2, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.4K

Aortic arch dissection: a controversy of classification.

Jason K Lempel1, Aletta Ann Frazier, Jean Jeudy

  • 1From the Departments of Radiology (J.K.L., A.A.F., J.J., S.J.K., R.S., H.A.N., E.K.G., C.S.W.) and Cardiac Surgery (B.G.), University of Maryland School of Medicine, Baltimore, Md.

Radiology
|March 13, 2014
PubMed
Summary

Aortic arch dissections are often misclassified, leading to inappropriate treatment. This study reviews classification history and proposes a unified system for accurate diagnosis and management of aortic dissections.

More Related Videos

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
07:12

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Published on: September 8, 2023

5.2K

Related Experiment Videos

Last Updated: May 2, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

1.4K
Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
07:12

Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

Published on: September 8, 2023

5.2K

Area of Science:

  • Cardiovascular Surgery
  • Radiology
  • Medical Classification Systems

Background:

  • Stanford classification categorizes aortic dissections into Type A (ascending aorta) and Type B (descending aorta).
  • Dissections involving the aortic arch present classification challenges, often leading to misinterpretation.
  • Current radiologic interpretation and surgical practice regarding arch dissections are inconsistent with standard classifications.

Purpose of the Study:

  • To review the historical evolution of aortic dissection classification.
  • To identify the reasons behind the misconception in classifying and managing aortic arch dissections.
  • To propose a unified classification system for aortic dissections that aligns imaging interpretation with clinical management.

Main Methods:

  • Retrospective review of aortic dissection studies at the University of Maryland Medical Center (2010-2012).
  • Assessment of the prevalence of aortic arch dissections.
  • Analysis of radiologic interpretation versus clinical management of aortic dissections.

Main Results:

  • The widely used Stanford classification inadequately addresses aortic dissections involving the aortic arch.
  • A significant tendency exists among radiologists to classify arch dissections as Type A, suggesting surgical intervention.
  • This radiologic perspective is often unsupported by established classification systems and current clinical management strategies.

Conclusions:

  • A unified classification system is needed to reconcile imaging findings with management decisions for aortic dissections.
  • Accurate classification of aortic arch dissections is crucial for appropriate treatment planning.
  • Addressing the misconception in classification can improve patient outcomes by ensuring timely and correct interventions.