Diagnosis of acute aortic syndromes

@article{Bossone2013DiagnosisOA,
  title={Diagnosis of acute aortic syndromes},
  author={Eduardo Bossone and T. Suzuki and Kim Eagle and Jonathan W. Weinsaft},
  journal={Herz},
  year={2013},
  volume={38},
  pages={269-276}
}
Acute aortic syndromes are fatal medical conditions including classic acute aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer. Given the nonspecific symptoms and signs, a high clinical index of suspicion followed by an imaging study, namely transesophageal echocardiography, computed tomography, and magnetic resonance imaging (sensitivity 98–100% and specificity 95–100%), is a conditio sine qua non for prompt diagnosis of acute aortic syndromes. This article provides… 

Acute aortic syndromes: diagnosis and management, an update.

It is highlighted that there is an urgent need to increase awareness of AAS worldwide, including dedicated education/prevention programmes, and to improve diagnostic and therapeutic strategies, outcomes, and lifelong surveillance.

Ascending Aortic Dissection, Penetrating Aortic Ulcer, and Intramural Hematoma

Diverse options include the extent of repair to be attempted, use of hybrid endovascular modalities (such as frozen elephant trunk technique), cannulation site, and cerebral perfusion strategy, yet the optimal approach to surgery remains unknown.

Management of Acute Aortic Syndromes

The various ways to evaluate and treat acute aortic syndromes are discussed, including those that are distal to the left subclavian artery, which may require surgical intervention.

Diagnostik und Therapie von Aortenerkrankungen

ZusammenfassungDie neuen Leitlinien zur Diagnostik und Therapie von Aortenerkrankungen sehen die kontrastverstärkte Computertomographie (CT) als Bildgebungsmodalität der ersten Wahl bei Patienten mit

Medical Treatment in Chronic Aortic Dissection

Acute aortic syndrome is a life-threatening disease which includes classic acute aorta dissection, intramural haematoma and penetrating atherosclerotic aortIC ulcer sharing common physiopathological mechanisms, clinical characteristics and therapeutic challenges.

Atypical Progress of Primary Undiagnosed Hepatoblastoma

The patient had non-typical progress of the hepatoblastoma, which led to the erroneous diagnosis and incorrect chosen of the treatment strategy.

Thiol/disulphide homeostasis in thoracic aortic aneurysm and acute aortic syndrome.

Lower thiol levels may be associated with the higher risk of aortic aneurysm development and may increase after surgical therapy.

Intramurales Hämatom der Aorta: eine diagnostische Herausforderung

Eine 75-jährige Patientin wurde wegen akuter Übelkeit, Völlegefühl, Erbrechen ohne Blutbeimengung and unspezifischer abdomineller Schmerzsymptomatik nächtlich aufgenommen, weswegen sie vollantikoaguliert werden.

References

SHOWING 1-10 OF 42 REFERENCES

Acute aortic syndromes

The purpose of this article is to review the relevant variants of AAS presentation, as well as diagnostic and management issues, including adequate long-term medical therapy and follow-up imaging.

Acute Aortic Syndromes

This report reviews the etiology, pathophysiology, clinical presentation, outcomes, and therapeutic approaches to acute aortic syndromes and summarizes the most clinically relevant issues as “take home points” (THPs) to affirm their importance in the diagnosis and management of this disorder.

Diagnosis of Acute Aortic Dissection by D-Dimer: The International Registry of Acute Aortic Dissection Substudy on Biomarkers (IRAD-Bio) Experience

D-dimer levels may be useful in risk stratifying patients with suspected aortic dissection to rule out aorti dissection if used within the first 24 hours after symptom onset, according to control disease, type of dissection, and time course.

Penetrating aortic ulcers: diagnosis with MR imaging.

MR imaging was superior to CT in differentiating acute intramural hematoma from atherosclerotic plaque and chronic intraluminal thrombus, although it did not depict displaced intimal calcification in one patient with extensive Intramural Hematoma.

Echocardiography in aortic diseases: EAE recommendations for clinical practice.

Transoesophageal echocardiography (TOE) overcomes the limitations of TTE in thoracic aorta assessment and may be used as the initial modality in the emergency setting.

The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease.

The data support the need for continued improvement in prevention, diagnosis, and management of acute aortic dissection and suggest a high clinical index of suspicion is necessary.

Simple and useful tests for discriminating between acute aortic dissection of the ascending aorta and acute myocardial infarction in the emergency setting.

The D-dimer value and the M-ratio, with appropriate cutoff values, have potential as tests that can be routinely used to exclude AADa patients from patients diagnosed with AMI prior to reperfusion therapy.

Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis.

All 3 imaging techniques, ie, TEE, helical CT, and MRI, yield clinically equally reliable diagnostic values for confirming or ruling out thoracic aortic dissection.

Correlates of Delayed Recognition and Treatment of Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection (IRAD)

Improved physician awareness of atypical presentations and prompt transport of acute aortic dissection patients could reduce crucial time variables.