title: Acute Aortic Dissection Occurring "Behind The Wheel", Report of 11 Cases.
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.
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
authors.forename: Takamichi
authors.initials: T
authors.lastname: Yoshizaki
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Kimura
authors.affiliation: Department of Cardiovascular Surgery, IMS Fujimi General Hospital, Fujimi, Japan.
authors.forename: Tomoyasu
authors.initials: T
authors.lastname: Hirano
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Yamaguchi
authors.affiliation: Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
authors.forename: Hideo
authors.initials: H
authors.lastname: Adachi
keywords: aortic dissection; motor vehicle driving; traffic accident