Literature DB >> 27738463

Acute Aortic Dissection Occurring "Behind The Wheel", Report of 11 Cases.

Takamichi Yoshizaki1, Naoyuki Kimura1, Tomoyasu Hirano2, Atsushi Yamaguchi1, Hideo Adachi1.   

Abstract

We investigated the clinical picture of non-traumatic acute aortic dissection (AAD) occurring behind the wheel. Between 1990 and 2014, AAD had occurred in 11 patients while driving (nine men, mean age; 58.3 years, seven commercial drivers). The symptoms included chest and/or back pain (n = 9) and syncope (n = 2). One patient with syncope caused a traffic accident. Ten patients had type A dissection (DeBakey type I) and 1 type B dissection. In-hospital mortality was 9.9% (1/11). Our data showed if affected drivers are transported to a hospital in a timely fashion, a good surgical outcome can be expected.

Entities:  

Keywords:  aortic dissection; motor vehicle driving; traffic accident

Year:  2016        PMID： 27738463      PMCID： PMC5027258          DOI： 10.3400/avd.cr.16-00010

Source DB:  PubMed          Journal:  Ann Vasc Dis        ISSN： 1881-641X


  12 in total

1.  Sudden natural death 'at the wheel': a retrospective study over a 15-year time period (1982-1996).

Authors:  A Büttner; M Heimpel; W Eisenmenger
Journal:  Forensic Sci Int       Date:  1999-07-26       Impact factor: 2.395

2.  Sudden natural death in driving: case studies in the western area of Kanagawa.

Authors:  M Osawa; T Nagasawa; N Yukawa; Y Nakajima; Y Seto; T Ohki; T Saito; S Takeichi
Journal:  Nihon Hoigaku Zasshi       Date:  1998-10

3.  Weight lifting and aortic dissection: more evidence for a connection.

Authors:  I Hatzaras; M Tranquilli; M Coady; P M Barrett; J Bible; J A Elefteriades
Journal:  Cardiology       Date:  2006-07-14       Impact factor: 1.869

4.  Analysis of risk factors for neurological dysfunction in patients with acute aortic dissection type A: data from the German Registry for Acute Aortic Dissection type A (GERAADA).

Authors:  Lars Oliver Conzelmann; Isabell Hoffmann; Maria Blettner; Klaus Kallenbach; Matthias Karck; Otto Dapunt; Michael A Borger; Ernst Weigang
Journal:  Eur J Cardiothorac Surg       Date:  2012-03-01       Impact factor: 4.191

5.  Characteristics of coronary heart disease in Japanese taxi drivers as determined by coronary angiographic analyses.

Authors:  K Kurosaka; H Daida; T Muto; Y Watanabe; S Kawai; H Yamaguchi
Journal:  Ind Health       Date:  2000-01       Impact factor: 2.179

6.  Sudden illness while driving a vehicle--a retrospective analysis of commercial drivers in Japan.

Authors:  Masahito Hitosugi; Sayaka Gomei; Takao Okubo; Shogo Tokudome
Journal:  Scand J Work Environ Health       Date:  2011-08-17       Impact factor: 5.024

7.  Utility of the Penn classification in predicting outcomes of surgery for acute type a aortic dissection.

Authors:  Naoyuki Kimura; Tetsu Ohnuma; Satoshi Itoh; Yusuke Sasabuchi; Kayo Asaka; Junji Shiotsuka; Koichi Adachi; Koich Yuri; Harunobu Matsumoto; Atsushi Yamaguchi; Masamitsu Sanui; Hideo Adachi
Journal:  Am J Cardiol       Date:  2013-11-25       Impact factor: 2.778

8.  Syncope in acute aortic dissection: diagnostic, prognostic, and clinical implications.

Authors:  Brahmajee K Nallamothu; Rajendra H Mehta; Sanjay Saint; Alfredo Llovet; Eduardo Bossone; Jeanna V Cooper; Udo Sechtem; Eric M Isselbacher; Christoph A Nienaber; Kim A Eagle; Arturo Evangelista
Journal:  Am J Med       Date:  2002-10-15       Impact factor: 4.965

9.  Incidence and implications of natural deaths of road users.

Authors:  M S Christian
Journal:  BMJ       Date:  1988-10-22

10.  Natural deaths while driving: would screening for risk be ethically justified?

Authors:  L H Cheng; R M Whittington
Journal:  J Med Ethics       Date:  1998-08       Impact factor: 2.903
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