The International Registry of Acute Aortic Dissection (IRAD)

Abstract

Acute aortic dissection presents with a wide range of manifestations, and classic findings are often absent. A high clinical index of suspicion is necessary. Despite recent advances, in-hospital mortality rates remain high. Our data support the need for continued improvement in prevention, diagnosis, and management of acute aortic dissection.

Painless Acute Aortic Dissection: Be Aware of Misdiagnosis and Ruling Out a Serious Danger.

“…At the physical examination, contrary to our case were we found a rough systolic murmur, it is generally a classic aortic insufficiency murmur wish was auscultated in 44% of patients with type A dissection [7] and was reported in about one third of the cases reported in the literature. Pulse deficit was found in 15 % of the cases [7].…”

Clinical and Angiographic Follow-up of Spontaneous Isolated Superior Mesenteric Artery Dissection

“…In contrast to the well-known correlation between hypertension and aortic dissection, 18 hypertension was only present in a third of our patient group. To explain the underlying mechanism of SISMAD, Solis et al 16 focussed on the location of the entry point of dissection, which is usually located at 1.5e3 cm distal to the orifice of SMA.…”

The characteristics of thoracic aortic dissection in autopsy-diagnosed individuals: An autopsy study

“…While the most common symptom in the present study was the sudden onset of abdominal pain rather than chest pain, regardless of Stanford type, which was different from that reported by the International Registry of Acute Aortic Dissection (IRAD) (chest pain) ( 24 ) and Sino-RAD (back pain) ( 13 ). Owe to lesion location, it is easy to understand that most Stanford type B patients with TAD presented with pain in the abdomen or low back.…”