Management of acute aortic dissection

  title={Management of acute aortic dissection},
  author={Christoph A. Nienaber and Rachel E. Clough},
  journal={The Lancet},

Current and Future Management Strategies of Type A Aortic Dissection

Type A Aortic dissection has varied clinical presentation from acute severe chest pain radiating to the back, collapse due to aortic rupture or pericardial tamponade or features of myocardial infarction, end organ or limb ischemia.

State of the Art Review: Surgical Treatment of Acute Type A Aortic Dissection.

An overview of the current surgical treatment of ATAAD is provided, focusing on new disease classifications, preoperative computed tomography angiography (CTA) assessment, new prosthesis and stent technologies, and organ-protection strategies.

Acute Aortic Dissection: an Update

Purpose of Review This review summarizes the pathophysiology of acute aortic dissection with recent findings and current strategies for diagnosis and treatment. Recent Findings The addition of

Aortic Dissection.

Acute Aortic Syndrome

Optimal Treatment of Uncomplicated Type B Aortic Dissection: JACC Review Topic of the Week.

An atypical case of Stanford type‐A chronic aortic dissection managed conservatively

This work presents an unusual case of chronic type‐A aortic dissection, with silent onset, in an oncologic patient without risk factors, which was managed conservatively and remained substantially stable during follow‐up.

Iatrogenic Aortic Dissection Presenting With Leg Pain Diagnosed With Point-of-care Ultrasound

A 41-year-old female who presented to the emergency department with right leg pain after undergoing three cardiac catheterizations is diagnosed withatrogenic aortic dissection status-post-cardiac catheterization, a rare complication often isolated to the proximal aorta.



Acute aortic dissection

Diagnostic imaging in the evaluation of suspected aortic dissection. Old standards and new directions.

The Stanford classification system divides aortic dissections anatomically into two types on the basis of location, and a dissection in which there is involvement of the ascending aorta, regardless of the site of entry, is defined as type A.

Biomarkers in acute aortic dissection and other aortic syndromes.

Progress in endovascular management of type A dissection.

Indication, timing and results of endovascular treatment of type B dissection.

  • I. AkinS. KischeH. InceC. Nienaber
  • Medicine
    European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
  • 2009

Randomized Comparison of Strategies for Type B Aortic Dissection: The INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) Trial

In the first randomized study on elective stent-graft placement in survivors of uncomplicated type B aortic dissection, TEVAR failed to improve 2-year survival and adverse event rates despite favorable aorti remodeling.

Surgical Management of Descending Thoracic Aortic Disease: Open and Endovascular Approaches: A Scientific Statement From the American Heart Association

A contemporary review of the various pathological processes that affect the descending thoracic aorta: Aneurysms, dissections, intramural hematomas, penetrating atherosclerotic ulcers, and aortic transections will be considered in detail.