Acute aortic syndrome

Vilacosta, Isidre

doi:10.1136/heart.85.4.365

Cited by 282 publications

(170 citation statements)

References 25 publications

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“…1 These include aortic dissection, intramural haematoma (IMH) and penetrating atherosclerotic ulcers (PAUs). 2,3 These different pathological entities can be difficult to distinguish clinically and may be confused with other causes of chest pain, including myocardial infarction, oesophageal perforation or pulmonary embolism.…”

mentioning

confidence: 99%

The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome

Abbas¹,

Brown²,

Peebles³

et al. 2014

BJR

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The term "acute aortic syndrome" (AAS) encompasses several non-traumatic life-threatening pathologies of the thoracic aorta presenting in patients with a similar clinical profile. These include aortic dissection, intramural haematoma and penetrating atherosclerotic ulcers. These different pathological entities can be indistinguishable on clinical grounds alone and may be confused with other causes of chest pain, including myocardial infarction. Multidetector-row CT (MDCT) is the current modality of choice for imaging AAS with a sensitivity and specificity approaching 100%. Early diagnosis and accurate radiological classification is associated with improved clinical outcomes in AAS. We review the characteristic radiological features of the different pathologies that encompass AAS and highlight the vital role of MDCT in determining the management of these life-threatening conditions.

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mentioning

confidence: 99%

The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome

Abbas¹,

Brown²,

Peebles³

et al. 2014

BJR

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“…This entrance tear is the initiating event and blood enters into the media and splits the aortic lumen to form a double-channel aorta with a true and false lumen. The intima and the inner part of the media form the intimomedial flap which separates the false lumen from the true lumen and is composed mainly of aortic media delaminated from the aortic wall [36]. When blood flows into the false lumen, it may cause secondary tears in intima, blood can reenter the true lumen and creating additional communication between the true and false lumens in the distal aorta.…”

Section: Pathophysiologymentioning

confidence: 99%

Proximal Aortic Dissection with Rupture into the Main Pulmonary Artery—A Case Report

Muthiah¹

2017

CRCM

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Aim: To present a rare occurrence of aortopulmonary fistula due to rupture of proximal aortic dissection in a 48-year-old woman. Introduction: Aortic dissection is defined as disruption of the medial layer provoked by intramural bleeding, resulting in separation of aortic wall layers and subsequent formation of a true lumen and a false lumen with or without communication. Case Report: A 48-year-old female presented with vague anterior chest discomfort, high blood pressure, systolic-diastolic murmur in the left sternal border with ECG changes of myocardial ischemia. Echocardiography revealed a dilated aortic root with intimal flaps, a leak into the pulmonary artery and regional hypokinesis with contractile dysfunction suggesting a proximal aortic dissection with rupture into the main pulmonary artery. Discussion: The etiology of aortic dissection was mostly hypertension in 80% of cases and aortopathies such as connective tissue disorders, inflammatory and idiopathic. Aortic wall stress is a major trigger of intimal tear and two-dimensional transthoracic echocardiography is an excellent, initial diagnostic gold standard to detect the dissecting flaps, especially in proximal aortic dissection. Conclusion: Blood pressure control is the mainstay of treatment and urgent surgery is indicated in proximal aortic dissection since there is higher chance of rupture with an increase in mortality.

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“…In addition to classical aortic dissection, this syndrome encompasses intramural hematoma and aortic penetrating ulcer [3,4].…”

Section: Use In Critical Care Patientsmentioning

confidence: 99%

Indications and Use of Transesophageal Echocardiography in Intensive Care Patients: Systematic Review

Cobo-Molinos¹,

Cobo-Molinos²

2017

J Med Diagn Meth

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Transesophageal echocardiography is one of the techniques used daily for the study of almost all cardiovascular diseases, being an interesting tool in intensive medicine thanks to the contribution of better images and reaching certain areas of the heart that are inaccessible to conventional echocardiography. In some countries, transesophageal echocardiography is a rare technique, so some doctors are not familiar with it. This paper aims to briefly review the main indications of this study.

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Acute aortic syndrome

Cited by 282 publications

References 25 publications

The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome

The role of multidetector-row CT in the diagnosis, classification and management of acute aortic syndrome

Proximal Aortic Dissection with Rupture into the Main Pulmonary Artery—A Case Report

Indications and Use of Transesophageal Echocardiography in Intensive Care Patients: Systematic Review

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