Acute aortic syndrome: a new look at an old conundrum

Vilacosta, Isidre; Aragoncillo, Paloma; Cañadas, Victoria; Román, José Alberto San; Ferreirós, Joaquı́n; Rodrı́guez, Enrique

doi:10.1136/hrt.2008.153650

Cited by 70 publications

(126 citation statements)

References 66 publications

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“…120 IMH, if associated with PAU, has a significantly worse prognosis with a higher risk of expansion and rupture. 51 Regression of acute IMH occurs in one third, progression in 20%, and up to 40% evolve into AD. 7 Indications for treatment in type B IMH are refractory chest pain, evidence of increasing size of the expanding haematoma, aortic rupture, and a progressive pleural effusion.…”

Section: Iib B 104mentioning

confidence: 99%

“…This group includes AD, IMH, and PAU. 51 Traumatic aortic transection and ruptured DTAA also may be included. The most common symptom is chest pain.…”

Section: Acute Thoracic Aortic Syndromementioning

confidence: 99%

“…Systemic hypertension is present in almost 80% of ATBAD patients. 51 Increasing age and atherosclerosis are other important risk factors, 57 as are congenital bicuspid or uni-commissural aortic valves, 58 cocaine abuse, 59 pregnancy, 60 strenuous activities, and severe emotional stress.…”

Section: Acute Thoracic Aortic Syndromementioning

confidence: 99%

“…In 90% of cases, ATBAD has a secondary tear that allows blood to re-enter the TL at what is known as the re-entry site. 51,52 The Stanford and DeBakey classifications are most commonly used to describe ATBAD (Fig. 1).…”

Section: Acute Thoracic Aortic Syndromementioning

confidence: 99%

“…119 The natural history of type B IMH is similar to that of ATBAD. 7,51 Conservative medical treatment is used for isolated uncomplicated type B IMH. 120 Treatment with bblockers has a survival rate of 95%, compared with 67% for those treated without b-blockade.…”

Section: Iib B 104mentioning

confidence: 99%

See 4 more Smart Citations

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Riambau¹,

Böckler²,

Brunkwall³

et al. 2017

European Journal of Vascular and Endovascular Surgery

841

196

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Section: Iib B 104mentioning

confidence: 99%

“…This group includes AD, IMH, and PAU. 51 Traumatic aortic transection and ruptured DTAA also may be included. The most common symptom is chest pain.…”

Section: Acute Thoracic Aortic Syndromementioning

confidence: 99%

Section: Acute Thoracic Aortic Syndromementioning

confidence: 99%

Section: Acute Thoracic Aortic Syndromementioning

confidence: 99%

Section: Iib B 104mentioning

confidence: 99%

See 3 more Smart Citations

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Riambau¹,

Böckler²,

Brunkwall³

et al. 2017

European Journal of Vascular and Endovascular Surgery

841

196

View full text Add to dashboard Cite

show abstract

The clinical value of echocardiography combined with transabdominal vascular ultrasound in the diagnosis of different types of aortic dissection

Zhong,

Li,

Wang

et al. 2023

J of Clinical Ultrasound

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PurposeTo analyze the clinical values of echocardiography combined with vascular ultrasound in the diagnosis of aortic dissection according to the DeBakey classification.MethodsThe clinical data of 77 patients with aortic dissection admitted to our hospital from August 2016 to January 2022 were retrospectively analyzed. All patients were examined with ultrasound and CT angiography (CTA), the consistency between ultrasound and CTA ± intraoperative diagnosis for the classification of AD was checked, as well as the differences in ultrasound signs and Ultrasound parameters between different types of AD were analyzed.ResultsThe results of Kappa value: There was a high level of agreement between echocardiography combined with transabdominal vascular ultrasound and CTA ± intraoperative diagnosis for the classification of AD (Kappa = 0.897, p = 0.000). In the ultrasound signs, the proportion of pericardial effusion, aortic regurgitation, aortic widening, and coronary artery involvement in type DeBakey I and II aortic dissection was significantly higher than that in Type III. There was no significant difference in the proportion of intimal floating, true and false lumen, and intimal rupture in Types I, II, and III aortic dissections. In the comparison of ultrasound parameters, there is a statistically significant difference in the values of LAD (left atrial diameter), LAV (left atrial volume), and LVEDD (left ventricular end‐diastolic diameter) among different types of aortic dissection. There is no significant difference in IVS (interventricular septum thickness), LVPW (left ventricular posterior wall thickness), LVEF (left ventricular ejection fraction), and E/e′ ratio among different types of aortic dissection.ConclusionEchocardiography combined with transabdominal vascular ultrasound can accurately evaluate aortic dissection with real‐time dynamic images and provide important clinical significance for early individualized treatment of patients through accurate classification of different aortic dissection.

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MR in hypertension

Roditi

2011

Magnetic Resonance Imaging

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Hypertension is a common systemic disorder affecting the cardiovascular system and kidneys with important morbidity and mortality. However, hypertension is often thought of by radiologists as an “invisible” disease. The aim of this article is to first review hypertension first in terms of its diagnosis, epidemiology and clinical importance. Second, those causes of secondary hypertension that may be diagnosed with MRI techniques are described along with the effects of hypertension on the cardiovascular system and kidneys that are demonstrable with MRI with particular emphasis on renovascular disease. Lastly the use of integrated MRI protocols to evaluate the hypertensive patient and areas for future research are considered. J. Magn. Reson. Imaging 2011;. © 2011 Wiley Periodicals, Inc.

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Acute aortic syndrome: a new look at an old conundrum

Cited by 70 publications

References 66 publications

Editor's Choice – Management of Descending Thoracic Aorta Diseases

Editor's Choice – Management of Descending Thoracic Aorta Diseases

The clinical value of echocardiography combined with transabdominal vascular ultrasound in the diagnosis of different types of aortic dissection

MR in hypertension

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