Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology

Erbel, Raimund; Alfonso, Fernándo; Boileau, Cathérine; Dirsch, Olaf; Eber, Bernd; Haverich, Axel; Rakowski, Harry; Struyven, Julien; Rådegran, Kjell; Sechtem, Udo; Taylor, James L.; Zollikofer, Ch. L.; Klein, W.; Mulder, Barbara J.M.; Providência, Luí­s A.

doi:10.1053/euhj.2001.2782

Cited by 1,079 publications

(400 citation statements)

References 249 publications

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“…They are of clinical significance due to their propensity to rupture. An aortic dissection is a life‐threatening condition requiring prompt diagnosis and treatment 5 . Transthoracic echocardiography (TTE) has traditionally only been used in a limited capacity in this setting, due to its relatively poor sensitivity and specificity for detecting aortic dissection.…”

Section: Discussionmentioning

confidence: 99%

Aortic plaque defined by contrast transthoracic echocardiography

Cursaro

Simmonds

Bradley

et al. 2012

Australas J Ultrason Med

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Section: Discussionmentioning

confidence: 99%

Aortic plaque defined by contrast transthoracic echocardiography

Cursaro

Simmonds

Bradley

et al. 2012

Australas J Ultrason Med

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“…10 In the case described here, admission with initial suspicion of acute myocardial infarction underscores the complexity of diagnosis at initial examination, even when the most common symptoms are present.…”

Section: Discussionmentioning

confidence: 99%

“…9 There are many factors that can lead to degeneration of the tunica media and to occurrence of dissection, including atherosclerosis, hypertension, smoking, male sex, and inflammatory arteriopathies. 10 The patient in the case described here therefore had the typical risk factors for the second peak of aortic dissection incidence: male sex, smoking, and hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…15 Computed tomography angiography with contrast is a rapid method that is viable in the majority of emergency centers, offering sensitivity of up to 95% and specificity of 85-95%. 10 In turn, MRI offers approximately 100% sensitivity and specificity and does not need intravenous contrast or exposure to radiation, 16 while TEE is primarily used in relation to type A dissection cases, with the capacity to identify involvement of coronary arteries, cardiac tamponade, and aortic insufficiency. 17 The patient in question was examined with CTA as the first choice option, resulting in confirmation of the diagnosis and enabling treatment planning.…”

Section: Discussionmentioning

confidence: 99%

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Dissecção aórtica de tipo B de Stanford: relato de caso e revisão de literatura

et al. 2017

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Complex treatment of aortic dissection is still a controversial subject because of the severity of these cases and the need to treat on a case-by-case basis. Severity is related to the difficulty of diagnosis caused by nonspecific complaints and by the serious complications inherent to disease progression (aortic rupture, hypoperfusion syndrome, retrograde dissection, refractory hypertension or pain). This article reports the case of a 61-year-old male smoker with poorly controlled hypertension who suffered a Stanford type B aortic dissection. After drug-based treatment failed, the patient was treated using endovascular techniques to place an endoprosthesis with stenting. Endovascular treatment is proving to be an effective tool for definitive treatment, with a good survival rate at the end of the first year after the procedure.Keywords: aortic dissection; endovascular; Stanford type B aortic dissection. ResumoO complexo tratamento de dissecção da aorta ainda apresenta controvérsias devido à gravidade do caso e à necessidade de individualização da terapêutica. A gravidade relaciona-se ao difícil diagnóstico pelas queixas inespecíficas e pelas graves complicações inerentes à evolução da doença (ruptura aórtica, síndrome de má perfusão, dissecção retrógrada, dor ou hipertensão refratária). Este relato apresenta um homem de 61 anos, tabagista e hipertenso mal controlado, que evoluiu para dissecção aórtica de tipo B de Stanford. Foi abordado através de técnica endovascular com uso de endoprótese com stent para tratamento do caso após falha do tratamento medicamentoso. O tratamento endovascular mostrou-se uma ferramenta eficaz para o tratamento definitivo, com boa taxa de sobrevida ao final do primeiro ano após o procedimento.Palavras-chave: dissecção aórtica; endovascular; dissecção aórtica de tipo B de Stanford.

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“…Experts recommend follow-up imaging and examinations at 1, 3, 6, 9, and 12 months after hospital discharge and not less than annually thereafter. 76 Imaging should at first span the length of the entire aorta, not just the area of initial insult, because further dissection and aneurysm can occur anywhere along the length of the vessel. Particular vigilance is required in patients with patent false lumens of the aorta, especially those with partial thrombosis.…”

Section: Acute Aortic Syndromesmentioning

confidence: 99%

Acute Aortic Syndromes and Thoracic Aortic Aneurysm

Ramanath

Sundt

et al. 2009

Mayo Clinic Proceedings

195

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Acute and chronic aortic diseases have been diagnosed and studied by physicians for centuries. Both the diagnosis and treatment of aortic diseases have been steadily improving over time, largely because of increased physician awareness and improvements in diagnostic modalities. This comprehensive review discusses the pathophysiology and risk factors, classification schemes, epidemiology, clinical presentations, diagnostic modalities, management options, and outcomes of various aortic conditions, including acute aortic dissection (and its variants intramural hematoma and penetrating aortic ulcers) and thoracic aortic aneurysms. Literature searches of the PubMed database were conducted using the following keywords: aortic dissection, intramural hematoma, aortic ulcer, and thoracic aortic aneurysm. Retrospective and prospective studies performed within the past 20 years were included in the review; however, most data are from the past 15 years. and studied by physicians for centuries. Descriptions of such pathologic conditions of the aorta as aneurysm and dissection date back as early as the 2nd century during the time of Galen, whose discoveries were largely made through studies of apes. More "recent" reports were described by Vesalius in 1557, followed by Nichols in 1732, who detailed the process of aortic dissection. In 1761, Morgagni reported detailed pathologic features of a patient with a ruptured aorta. 1 However, our true understanding of aortic pathology began with the dissertation by Shennan 2 in 1934, which included a description of penetrating atheromatous plaques of the thoracic aorta. His report was followed by the first successful management of aortic dissection by DeBakey in 1955. 1 Since then, our knowledge of the pathologic conditions of the aorta has grown considerably and continues to evolve with ongoing research into the pathophysiology of these conditions, technological advances in the modes of detection, and improved therapeutic options. Clinical databases, such as the International Registry of Acute Aortic Dissection (IRAD), the largest current registry for acute aortic syndromes, have also contributed tremendously to our knowledge of acute aortic pathology.For the practicing clinician, knowledge of aortic disease is paramount because patients with aortic conditions contribute significantly to the overall mortality from cardiovascular disease. This review discusses the pathophysiology, epidemiology, presentation, diagnosis, and therapeutic options for several forms of acute and chronic aortic pathology: aortic dissection (including its variants intramural hematoma [IMH] and penetrating atheromatous aortic ulcer) and thoracic aortic aneurysm (TAA). Literature searches were performed of the PubMed database using the following key words: aortic dissection, intramural hematoma, aortic ulcer, and thoracic aortic aneurysm. Retrospective and prospective studies conducted within the past 15 years, along with some data from years prior, were included in this review.

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Diagnosis and management of aortic dissection Task Force on Aortic Dissection, European Society of Cardiology

Cited by 1,079 publications

References 249 publications

Aortic plaque defined by contrast transthoracic echocardiography

Aortic plaque defined by contrast transthoracic echocardiography

Dissecção aórtica de tipo B de Stanford: relato de caso e revisão de literatura

Acute Aortic Syndromes and Thoracic Aortic Aneurysm

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