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

15
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...
15
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

16
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...
16
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

38
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...
38
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

22
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...
22
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

15
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...
15
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

13
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...
13

You might also read

Related Articles

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

Sort by
Same author

The Influence of Procedure Setting on Tibial Endovascular Arterial Intervention Practice Patterns in the Medicare Population.

Annals of vascular surgery·2026
Same author

Opposing roles of deubiquitinases in the regulation of IRF7 transcriptional activity.

mBio·2026
Same author

Endovascular treatment of delayed presentation post-traumatic anterior tibial artery pseudoaneurysm in pediatric patient.

Journal of vascular surgery cases and innovative techniques·2026
Same author

Preoperative risk score for mortality within 3 years of nonemergent endovascular repair for descending thoracic aortic aneurysm.

Journal of vascular surgery·2025
Same author

Risk Score for the Event of Perioperative Myocardial Infarction at the Time of Carotid Endarterectomy.

Annals of vascular surgery·2025
Same author

Physician-Modified Endografts Achieve Similar Patient Survival and Target Visceral Vessel Related Outcomes to Factory-Made Fenestrated Endografts in Treating Complex Aortic Pathology.

Annals of vascular surgery·2025

Related Experiment Video

Updated: Aug 8, 2025

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

424

Quiet & deadly: Painless aortic dissection.

Karan Chawla1, Somya Al-Embideen2, Christopher Riordan3

  • 1University of Toledo College of Medicine and Life Sciences, Toledo, OH 43614, USA.

International Journal of Cardiology. Cardiovascular Risk and Prevention
|March 6, 2023
PubMed
Summary
This summary is machine-generated.

Painless type A aortic dissection can be life-threatening, often leading to delayed diagnosis and poor outcomes. This case highlights the importance of considering aortic dissection even in asymptomatic patients.

Keywords:
Aortic dissectionAsymptomatic aortic dissectionDissection of the thoracic aorta

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

2.6K
Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

676

Related Experiment Videos

Last Updated: Aug 8, 2025

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

424
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

2.6K
Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

676

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Aortic dissection is a critical vascular emergency with high mortality.
  • Stanford classification categorizes dissections into Type A and Type B based on tear location.
  • A significant percentage of patients die before hospital arrival or within 30 days of diagnosis.

Observation:

  • A 53-year-old male with hypertension, sleep apnea, and diabetes presented with chest pain but was asymptomatic upon arrival.
  • Initial workup suggested Non-ST Elevated Myocardial Infarction (NSTEMI) and aortic regurgitation.
  • Computed tomography angiography (CTA) confirmed acute type A ascending aortic dissection.

Findings:

  • The patient underwent an emergent Bentall procedure for the ascending aortic dissection.
  • The patient tolerated the surgery well and is recovering.
  • This case underscores the challenge of diagnosing aortic dissection when it presents without typical symptoms.

Implications:

  • Emphasizes the critical need for heightened clinical suspicion for aortic dissection in atypical presentations.
  • Highlights the potential for delayed diagnosis and adverse outcomes in painless aortic dissection.
  • Underscores the importance of advanced imaging like CTA in confirming the diagnosis and guiding timely surgical intervention.