Related Experiment Video

Updated: Apr 5, 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

1.2K

Early acute ischaemic stroke in two patients with acute type B aortic dissection: an unusual complication

Abdullah AlGhamdi1, Saeed Alqahtani2, Meagan Ricketti3

  • 1Pulmonary, Critical Care and Sleep Department, George Washington University, Washington DC, USA.

BMJ Case Reports
|August 6, 2015
PubMed

Insights

Early stroke is rare in type B aortic dissection. This study found cardioembolic events, linked to cardiomyopathy, caused early strokes in two type B patients, highlighting a new risk factor.

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Cardiology

Background:

  • Aortic dissection (AD) is a life-threatening cardiovascular condition.
  • Type A AD involves the ascending aorta; Type B AD affects the descending aorta.
  • Neurological complications, like ischemic stroke, are known but typically associated with Type A AD.

Observation:

  • Early ischemic stroke is unusual in Type B AD.
  • This report details two patients with Type B AD experiencing early ischemic strokes.
  • Both patients had significant cardiomyopathies, with one exhibiting left ventricle thrombus.

Findings:

  • The strokes in both patients were determined to be of cardioembolic origin.
  • Cardiomyopathy and left ventricular thrombus were identified as potential sources for emboli.
  • This suggests an alternative mechanism for early stroke in Type B AD.

Implications:

  • Early stroke in Type B AD may stem from cardioembolic sources, not solely anatomical involvement.
  • Screening for cardiomyopathies and cardiac thrombi is crucial in Type B AD patients presenting with stroke.
  • This finding broadens the understanding of stroke pathogenesis in aortic dissection.

More Related Videos

Reproducible Motor Deficit Following Aortic Occlusion in a Rat Model Of Spinal Cord Ischemia08:10

Reproducible Motor Deficit Following Aortic Occlusion in a Rat Model Of Spinal Cord Ischemia

Published on: July 22, 2017

7.6K

Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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...
532
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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...
453
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
582
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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...
1.3K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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...
919