Comments on: John Ritter: aortic dissection or aneurysm? http://www.yourerdoc.com/john-ritter-aortic-dissection-or-aneurysm/ Stories from the Emergency Room plus answers to your medical and health related questions Thu, 12 Jan 2012 01:53:36 +0000 hourly 1 http://wordpress.org/?v=3.0.1 By: Scott http://www.yourerdoc.com/john-ritter-aortic-dissection-or-aneurysm/comment-page-1/#comment-3558 Scott Sun, 19 Jun 2011 23:05:12 +0000 http://www.yourerdoc.com/?p=899#comment-3558 And one of the bad things about dissections is that they too may be assymptomatic (painless) until the dissection becomes so severe that disruption of the the tunica media and adventia is imminent or occurs, which can result in a large lac in the artery and possible death from massive hemorrhage. Mortality from ruptured aorta's is as high as 80%. And one of the bad things about dissections is that they too may be assymptomatic (painless) until the dissection becomes so severe that disruption of the the tunica media and adventia is imminent or occurs, which can result in a large lac in the artery and possible death from massive hemorrhage. Mortality from ruptured aorta’s is as high as 80%.

]]> By: Patricia Parker http://www.yourerdoc.com/john-ritter-aortic-dissection-or-aneurysm/comment-page-1/#comment-2118 Patricia Parker Fri, 30 Jan 2009 06:30:38 +0000 http://www.yourerdoc.com/?p=899#comment-2118 My Father-in-law had aortic aneurysms for which he had surgery. It is genetic in nature and as the disease is asymptomatic, it is better to be cautious and have regular check up. This post may be useful for all read <a href="http://www.localdoctordirectory.com/doctor_index_3027.html" rel="nofollow">WHAT IS AN AORTIC ANEURYSM?</a> My Father-in-law had aortic aneurysms for which he had surgery. It is genetic in nature and as the disease is asymptomatic, it is better to be cautious and have regular check up. This post may be useful for all read WHAT IS AN AORTIC ANEURYSM?

]]> By: Your ER Doc http://www.yourerdoc.com/john-ritter-aortic-dissection-or-aneurysm/comment-page-1/#comment-1532 Your ER Doc Sun, 28 Dec 2008 17:23:15 +0000 http://www.yourerdoc.com/?p=899#comment-1532 A colleague recently saw a thoracic aneurysm rupture which presented atypically. I have seen dissections, but not aneurysm rupture. Thanks for the comments. A colleague recently saw a thoracic aneurysm rupture which presented atypically. I have seen dissections, but not aneurysm rupture. Thanks for the comments.

]]> By: shadowfax http://www.yourerdoc.com/john-ritter-aortic-dissection-or-aneurysm/comment-page-1/#comment-1502 shadowfax Sun, 28 Dec 2008 07:26:58 +0000 http://www.yourerdoc.com/?p=899#comment-1502 Evidence suggests Ritter presented with an apparent STEMI -- he was given heparin and sent to the cath lab. Angio showed the vascular accident. So if the coronaries were involved, the likelihood is much higher that it was a dissection. Thoracic aneurysms are very rare indeed, and ascending thoracic aneurysms are even more so. Cheers, Sf Evidence suggests Ritter presented with an apparent STEMI — he was given heparin and sent to the cath lab. Angio showed the vascular accident. So if the coronaries were involved, the likelihood is much higher that it was a dissection. Thoracic aneurysms are very rare indeed, and ascending thoracic aneurysms are even more so.

Cheers,

Sf

]]> By: Dr. Bearemy http://www.yourerdoc.com/john-ritter-aortic-dissection-or-aneurysm/comment-page-1/#comment-1500 Dr. Bearemy Sun, 28 Dec 2008 02:05:25 +0000 http://www.yourerdoc.com/?p=899#comment-1500 Good point. I just wrote a post about dissections as well which may be of interest: <a href="http://myemergencymedicineblog.wordpress.com/2008/12/27/which-is-greatest-your-chances-of-diagnosing-a-deadly-aortic-dissection-on-your-next-shift-winning-some-on-your-next-powerball-ticket-being-struck-by-lightening-during-your-life-time-or-seroconv/" rel="nofollow">"Which is most likely: your chances of diagnosing a deadly aortic dissection on your next shift, winning some $ with your next Powerball ticket, being struck by lightening during your life time, or seroconverting after being stuck with an 18 g angiocath used in an HIV positive patient?"</a> Good point.

I just wrote a post about dissections as well which may be of interest:

“Which is most likely: your chances of diagnosing a deadly aortic dissection on your next shift, winning some $ with your next Powerball ticket, being struck by lightening during your life time, or seroconverting after being stuck with an 18 g angiocath used in an HIV positive patient?”

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