Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1053/j.jvca.2024.07.006 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Rare Mechanism of Anterior Myocardial Infarction Secondary to Aortic Dissection.
JACC Case Rep
September 2025
Department of Cardiology, Victorian Heart Hospital, Melbourne, Victoria, Australia.
A 76-year-old woman presented with anterolateral ST-segment elevation myocardial infarction complicated by incessant ventricular arrhythmia. Angiography did not find obstructive coronary disease. Echocardiography demonstrated "double valve sign," pathognomonic of aortic dissection, which was subsequently confirmed on computed tomography.
View Article and Find Full Text PDFBackground: Artificial intelligence (AI) applied to routine electrocardiograms (ECGs) offers promise for screening of structural heart disease (SHD), yet broad clinical integration remains limited by high false positive rates and the lack of tailored deployment strategies.
Methods: We developed TARGET-AI, a multimodal AI-enabled pipeline that integrates longitudinal electronic health record (EHR) data with ECG images to identify optimal intersections of healthcare encounters and patient phenotypes for targeted AI-ECG screening. The approach is built on (1) a foundation model pretrained on 118 million coded EHR events from 159,322 individuals to generate temporal patient embeddings and identify high-risk screening candidates, followed by (2) a contrastive vision-language model trained on 754,533 ECG-echocardiogram pairs to detect SHD with tunable performance characteristics.
Emergency Endovascular Rescue Using Fenestration for False Lumen Deployment of the Frozen Elephant Trunk in Aortic Rupture.
Cureus
July 2025
Cardiovascular Surgery, Kushiro City General Hospital, Kushiro, JPN.
A 65-year-old man presented with Stanford type B aortic dissection complicated by rupture of the distal aortic arch, originating from the false lumen. Due to the short distance between the supra-aortic branches, the lack of peripheral access from malperfusion, and the invasiveness of combined arch and descending aortic replacement via left thoracotomy, emergency total arch replacement with a frozen elephant trunk was chosen to close the primary entry and control the rupture. However, intraoperative deployment of the prosthesis into the false lumen was suspected due to increasing bleeding and transesophageal echocardiographic findings.
View Article and Find Full Text PDFInferior ST-Segment Elevation Myocardial Infarction Due to Extrinsic Compression Caused by an Aortic False Aneurysm.
JACC Case Rep
August 2025
Department of Cardiology, CHU de Poitiers, Poitiers, France.
Background: A 50-year-old woman with a 2-month history of mechanical Bentall surgery for a type A dissection was admitted to the cardiology department because of an inferior ST-segment elevation myocardial infarction.
Case Summary: In the presence of atypical chest pain and the discovery of pericardial and pleural effusion, no P2Y12 receptor inhibitor or anticoagulation was administered before the coronary angiography. It revealed diffuse atypical stenosis, and optical coherence tomography showed an oval-shaped artery with no plaque rupture, hematoma, or erosion.
Relationship Between the Primary Entry Tear Locations and Surgical Outcomes of Acute Type A Aortic Dissection: A Single-Center Experience.
Vasc Specialist Int
August 2025
Cardiovascular and Thoracic Center, Viet Duc University Hospital, Hanoi, Vietnam.
Purpose: The primary entry tear location affects the prognosis and treatment strategies in aortic dissection. This study aimed to investigate the relationship between entry tear location and surgical outcomes in patients with acute type A aortic dissection (TAAD).
Materials And Methods: We retrospectively reviewed 89 patients with acute TAAD who underwent surgery between January 2021 and December 2022 at a single center in Vietnam.