Aortic Dissection

2018 ◽  
Author(s):  
Kristine C Orion ◽  
James H Black III
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Intramural Hematoma ◽  
Current Treatment ◽  
Penetrating Aortic Ulcer ◽  
Uncommon Condition ◽  
Best Medical Therapy ◽  
Malperfusion Syndrome ◽  
Prompt Diagnosis ◽  
Stanford Type B

Acute aortic dissection remains a lethal but uncommon condition. Historically, Stanford type B dissections are managed with best medical therapy whereas Stanford type A dissections are surgically treated. In the last decade, worldwide evidence has been building that has questioned optimal treatment for the former. In this review, we discuss the general features of aortic dissection, the pathophysiology and risk factors, appropriate imaging to make a prompt diagnosis, and current treatment principles and methods. This review contains 82 references, 6 figures and 5 tables. Key words: aortic aneurysm, aortic dissection, intramural hematoma, malperfusion syndrome, penetrating aortic ulcer, thoracoabdominal

Acute Aortic Dissection with Intramural Hematoma

1996 ◽  
Vol 11 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Koichi Ide ◽  
Hideo Uchida ◽  
Hideaki Otsuji ◽  
Kiyoshi Nishimine ◽  
Juichi Tsushima ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Intramural Hematoma

scholarly journals Two-stage Operation for Stanford Type B Acute Aortic Dissection with Renal Blood Flow Reduction

2018 ◽  
Vol 79 (4) ◽  
pp. 708-712
Author(s):  
Yusuke SHIMIZU ◽  
Susumu ISHIKAWA ◽  
Hideki MISHIMA ◽  
Yuki MATSUNAGA ◽  
Yuki NISHIHARA ◽  
...  
Keyword(s):  
Blood Flow ◽  
Aortic Dissection ◽  
Renal Blood Flow ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Two Stage ◽  
Flow Reduction ◽  
Blood Flow Reduction ◽  
Stanford Type B

scholarly journals Head and Neck Pain in Patients Presenting with Acute Aortic Dissection

Aorta ◽  
2018 ◽  
Vol 06 (06) ◽  
pp. 130-138 ◽  
Author(s):  
Stephen Philip ◽  
Emil Missov ◽  
Dan Gilon ◽  
Stuart Hutchison ◽  
Ali Khoynezhad ◽  
...  
Keyword(s):  
Back Pain ◽  
Aortic Dissection ◽  
Neck Pain ◽  
Head And Neck ◽  
Acute Aortic Dissection ◽  
Intramural Hematoma ◽  
Type A ◽  
White Female ◽  
Comorbidity Burden ◽  
Overall Mortality

Background Head and neck pain is an atypical presentation of acute aortic dissection. Classic teaching associates this pain with proximal dissections, but this has not been extensively studied. Methods Patients enrolled in the International Registry of Acute Aortic Dissection from January 1996 to March 2015 were included in this study. We analyzed the demographics, presentation, treatment, and outcomes of Type A aortic dissection patients presenting with head and neck pain (n = 812, 25.8%) and compared it with those without these symptoms (n = 2,341, 74.2%). Results Patients with head and neck pain were more likely to be white, female, with a family history of aortic disease. Patients with head and neck pain had higher percentages of back pain (43.3% vs. 37.5%, p = 0.005) and chest pain (87.6% vs. 79.3%, p < 0.001). On imaging, a higher percentage of those with head and neck pain had arch vessel involvement (44.3% vs. 38%, p = 0.010) and intramural hematoma (11.7% vs. 8.1%, p = 0.003). Surgical management was more common in patients with head and neck pain (89.8% vs. 85.2%, p = 0.001). Regarding outcomes, patients with head and neck pain had significantly higher rates of stroke than those without head and neck pain (13% vs. 9.9%, p = 0.016); however, overall mortality was lower for those with head and neck pain (19.5% vs. 23%, p = 0.038). Those with head and neck pain only had higher overall mortality compared to those with head and neck pain with chest or back pain (34.6% vs. 19.9%, p = 0.013). A logistic regression of mortality revealed that preoperative hypotension and age > 65 years were significantly associated with increased mortality. Conclusion Presence of head and neck pain in Type A dissection is associated with more arch involvement, intramural hematoma, and stroke. When isolating those with head and neck pain only, there appear to be a higher rate of comorbidity burden and higher overall mortality.

scholarly journals Endovascular graft exclusion for treating Stanford type B acute aortic dissection in aged population

Medicine ◽  
2019 ◽  
Vol 98 (26) ◽  
pp. e16046
Author(s):  
Tongyun Chen ◽  
Nan Jiang ◽  
Feng Zhao ◽  
Dong Xu ◽  
Jinyu Gao ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Aged Population ◽  
Endovascular Graft ◽  
Stanford Type B

scholarly journals Predictors of late aortic events after Stanford type B acute aortic dissection

2014 ◽  
Vol 148 (1) ◽  
pp. 98-104 ◽  
Author(s):  
Tomoaki Kudo ◽  
Akihito Mikamo ◽  
Hiroshi Kurazumi ◽  
Ryo Suzuki ◽  
Noriyasu Morikage ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Stanford Type B

scholarly journals Renal Malperfusion Syndrome in Acute Aortic Dissection Type B

2019 ◽  
Vol 58 (6) ◽  
pp. e180
Author(s):  
Josef Klocker ◽  
Michael Schreinlechner ◽  
Drosos Kotelis ◽  
Johannes Kalder ◽  
Bernhard Glodny ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Malperfusion Syndrome

scholarly journals Optimal treatment strategy for type A acute aortic dissection with intramural hematoma

2014 ◽  
Vol 147 (1) ◽  
pp. 307-311 ◽  
Author(s):  
Mitsumasa Hata ◽  
Hiroaki Hata ◽  
Akira Sezai ◽  
Isamu Yoshitake ◽  
Shinji Wakui ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Treatment Strategy ◽  
Acute Aortic Dissection ◽  
Intramural Hematoma ◽  
Type A ◽  
Optimal Treatment ◽  
Optimal Treatment Strategy

scholarly journals Emergent endovascular stent-graft placement to treat ruptured Stanford type B acute aortic dissection

2004 ◽  
Vol 39 (3) ◽  
pp. 668-671 ◽  
Author(s):  
Saori Kawamura ◽  
Hiroshi Nishimaki ◽  
Zong-Bo Lin ◽  
Masato Machii ◽  
Yoshinori Isobe ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Acute Aortic Dissection ◽  
Endovascular Stent ◽  
Type B ◽  
Endovascular Stent Graft ◽  
Graft Placement ◽  
Stanford Type B
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