Acute Aortic Dissection: an Update
| Autor: | Paulo Guilherme Bezerra Braga, Bruno S. Holz, Arjang Ruhparwar, Konstantin Zhigalov, Konstantinos Tsagakis, Michel Pompeu Barros de Oliveira Sá, Luiz Rafael P. Cavalcanti, Alexander Weymann, Álvaro M. Perazzo, Laio C. Wanderley, Alexandre Magno Macário Nunes Soares, Antonio C. Escorel Neto, Jéssica Cordeiro de Siqueira Campos |
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| Rok vydání: | 2020 |
| Předmět: |
Aortic arch
Aortic dissection medicine.medical_specialty business.industry Optimal treatment Mortality rate Medizin Treatment options 030208 emergency & critical care medicine General Medicine 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine medicine.artery Ascending aorta cardiovascular system medicine Imaging diagnosis High surgical risk Radiology business |
| Zdroj: | Current Emergency and Hospital Medicine Reports. 8:90-102 |
| ISSN: | 2167-4884 |
| Popis: | This review summarizes the pathophysiology of acute aortic dissection with recent findings and current strategies for diagnosis and treatment. The addition of clinical and laboratorial findings to radiologic classifications emerges as an approach to better stratify and treat patients with aortic dissection. Endovascular strategies grow in variety of treatment options, including for type A aortic dissection. Aortic dissection is a wide spectrum syndrome, generally posing a life-threating risk. Early identification can be the difference between life and death. Better imaging diagnosis made clear that accurately classification is crucial for choosing the optimal treatment. Mortality rates are still high, with the involvement of the ascending aorta being the most lethal type, despite a current trend toward better outcomes. Promising new developments in ascending aorta and aortic arch endovascular treatments are appealing for high surgical risk patients. |
| Databáze: | OpenAIRE |
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