Acceleration-induced acute type A aortic dissection in the sky: 10-year follow-up.


Journal

Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809

Informations de publication

Date de publication:
May 2020
Historique:
pubmed: 17 3 2020
medline: 6 10 2020
entrez: 17 3 2020
Statut: ppublish

Résumé

Acute aortic dissection is uncommon, but can turn into a fatal disease if not managed quickly. A 49-year-old male fighter pilot presented to us after sudden excruciating chest pain during a flight at the moment of an acute spiral down action. A contrast-enhanced computed tomography angiography showed Stanford type A aortic dissection that required surgical ascending aorta and hemiarch replacement with uneventful postoperative recovery and 10-year follow-up. Here, we presented the first report of a previously healthy pilot developed acute aortic dissection in the sky. Physicians should be aware of such a case that might happen more common with rapid aviation progress.

Identifiants

pubmed: 32176353
doi: 10.1111/jocs.14498
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

1112-1114

Informations de copyright

© 2020 Wiley Periodicals, Inc.

Références

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Stevenson AT, Scott JP, Chiesa S, et al. Blood pressure, vascular resistance, and +Gz tolerance during repeated +Gz exposures. Aviat Space Environ Med. 2014;85(5):536-542.
Newman DG, Callister R. Cardiovascular training effects in fighter pilots induced by occupational high G exposure. Aviat Space Environ Med. 2008;79(8):774-778.
Akin A, Ozturk C, Aparci M, et al. Age and aortic diameters in pilots. Mil Med. 2015;180(12):1262-1267.
Aparci M, Erdal M, Isilak Z, et al. Enlargement of the aorta: an occupational disease? Exp Clin Cardiol. 2013;18(2):93-97.
Osada H, Kyogoku M, Matsuo T, Kanemitsu N. Histopathological evaluation of aortic dissection: a comparison of congenital versus acquired aortic wall weakness. Interact Cardiovasc Thorac Surg. 2018;27(2):277-283.
Hatzaras I, Tranquilli M, Coady M, Barrett PM, Bible J, Elefteriades JA. Weight lifting and aortic dissection: more evidence for a connection. Cardiology. 2007;107(2):103-106.

Auteurs

Jun An (J)

Department of Cardiovascular Surgery, Center for Heart Failure, Yanbian University Hospital, Jilin, China.

Abdelsalam M Elhenawy (AM)

Division of Cardiac Surgery, Mazankowski Alberta Heart Institute, Edmonton, Canada.
Division of Cardio-thoracic Surgery, Al Azhar University, Cairo, Egypt.

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