Unbound MEDLINE

The diagnosis and management of aortic dissection.

Abstract

Aortic dissection represents the most common aortic emergency, affecting 3 to 4 per 100,000 people per year and is still associated with a high mortality. Twenty percent of the patients with aortic dissection die before reaching hospital and 30% die during hospital admission. Aortic dissections may be classified in 3 ways: according to their anatomical extent (the Stanford or DeBakey systems), according to the time from onset (acute or chronic), and according to the underlying pathology (the European Society of Cardiologists' system). Advances in endovascular technology have provided new treatment options. Hybrid endovascular and conventional open surgical repair represent the mainstay of treatment for acute type A dissection. Medical management remains the gold standard for acute and uncomplicated chronic type B dissection, though endovascular surgery offers exciting potential in the management of complicated type B dissection through sealing of the intimal entry tear.

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  • Publisher Full Text
  • Authors

    Karthikesalingam A, Holt PJ, Hinchliffe RJ, Thompson MM, Loftus IM

    Source

    Vascular and endovascular surgery 44:3 2010 Apr pg 165-9

    MeSH

    Acute Disease
    Aneurysm, Dissecting
    Aortic Aneurysm
    Cardiovascular Agents
    Chronic Disease
    Humans
    Patient Selection
    Predictive Value of Tests
    Risk Assessment
    Risk Factors
    Severity of Illness Index
    Treatment Outcome
    Vascular Surgical Procedures

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    20308170