Clinical, diagnostic, and management perspectives of aortic dissection

Chest

Volumn 122, Issue 1, 2002, Pages 311-328

  Khan, Ijaz A ^a   Nair, Chandra K ^a  

^a CREIGHTON UNIVERSITY CARDIAC CENTER   (United States)

Author keywords

Acute aortic syndrome; Aortic dissection; Aortic intramural hematoma; Atherosclerotic aortic ulcer; Clinical features; Diagnosis; Dissecting aneurysm; Dissecting hematoma; Prognosis; Treatment

Indexed keywords

ALPHA ADRENERGIC RECEPTOR BLOCKING AGENT; ANTIHYPERTENSIVE AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; GANGLION BLOCKING AGENT; LABETALOL; NITROPRUSSIDE SODIUM; TRIMETAPHAN; VASODILATOR AGENT;

ANTIHYPERTENSIVE THERAPY; AORTA ATHEROSCLEROSIS; AORTA DISEASE; AORTA DISSECTION; AORTA SURGERY; CLINICAL FEATURE; CLINICAL TRIAL; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DISEASE ASSOCIATION; DISEASE PREDISPOSITION; ENDOVASCULAR SURGERY; HEALTH CARE AVAILABILITY; HEMATOMA; HIGH RISK POPULATION; HOSPITAL ADMISSION; HUMAN; HYPERTENSION; MEDICAL EXPERT; META ANALYSIS; NUCLEAR MAGNETIC RESONANCE IMAGING; PATHOGENESIS; PATIENT SELECTION; PHYSICAL EXAMINATION; POPULATION RESEARCH; POSTOPERATIVE COMPLICATION; PREVALENCE; PRIORITY JOURNAL; REVIEW; RISK FACTOR; SIDE EFFECT; STENT; SURGICAL TECHNIQUE; THORAX PAIN; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ULCER;

EID: 0036306505     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.122.1.311     Document Type: Review

References (178)

1. The International Registry of Acute Aortic Dissection (IRAD): New insights into an old disease
2. Clinical features and differential diagnosis of aortic dissection: Experience with 236 cases (1980 through 1990)
3. Thoracic aortic aneurysms: A population-based study
4. The clinical spectrum of patients with aneurysms of the ascending aorta
5. Surgical management of dissecting aneurysms of the aorta
6. Management of acute aortic dissections
7. Aortic dissecting aneurysms: Causative factors in 204 subjects
8. Aortic dissection: Incidence, natural history and impact of surgery
9. Dissecting aneurysms of the aorta: A review of 505 cases
10. Dissection and dissecting aneurysms of the aorta: Twenty-year follow up of five hundred twenty-seven patients treated surgically
11. Thoracic aortic dissection or aneurysm: Clinical presentation, diagnostic imaging and initial management in a tertiary referral center
12. Anuloaortic ectasia: A clinical and echocardiographic study
13. Acute aortic dissection from cross-clamp injury
14. Aortic dissection following coronary artery bypass surgery: Diagnosis by CT
15. Pathologic variants of thoracic aortic dissections: Penetrating atherosclerotic ulcers and intramural hematomas
16. Thoracic aortic dissection secondary to crack cocaine ingestion
17. Cocaine-associated dissection of the thoracic aorta
18. Aortic dissection due to discontinuation of beta-blocker therapy
19. Acute dissection of the aorta
20. Acute aortic dissection and its variants: Toward a common diagnostic and therapeutic approach
21. Definitive diagnosis of intramural hematoma of the thoracic aorta with MR imaging
22. Penetrating atherosclerotic ulcers of the thoracic aorta: Natural history of clinicopathologic correlations
23. Penetrating aortic ulcers: Diagnosis with MR imaging
24. Penetrating atherosclerotic aortic ulcer: Documentation by transesopha-geal echocardiography
25. Penetrating atherosclerotic ulcers of the descending thoracic aorta: Evaluation with CT and distinction from aortic dissection
26. Penetrating atherosclerotic ulcers of the aorta
27. The penetrating aortic ulcer: Pathologic manifestations, diagnosis, and management
28. Epidemiology and clinicopathology of aortic dissection
29. The natural history of thoracic aortic aneurysm disease: An overview
30. Aortic dissection anddissecting aneurysms
31. Cerebral infarction due to painless thoracic aorta and common carotid artery dissection
32. Management of patients with intramural hematoma of the thoracic aorta
33. Intramural hemorrhage of the thoracic aorta: Diagnostic and therapeutic implications
34. Diagnosis and treatment of thoracic aortic intramural hematoma
35. Intramural hematoma of the thoracic aorta: MR image findings and their prognostic implications
36. Transesophageal echocardiographic and clinical features of aortic intramural hematoma
37. Intrawall hematoma of the aorta as an early sign of aortic dissection
38. Different clinical features of aortic intramural hematoma versus dissection involving the ascending aorta
39. Penetrating atherosclerotic ulcers of the thoracic aorta
40. Ulcerlike projections: A precursor angiographic sign to thoracic aortic dissection
41. Diagnosis of acute thoracic aortic dissection in the emergency department
42. Asymptomatic dissection of the ascending aorta: Diagnosis by transesophageal echocardiography
43. Silent aortic dissection with hemopericardium: Diagnosis by computerized tomography
44. Evaluation of painless aortic dissection with MR imaging
45. Clinical manifestations of aortic dissection
46. Painless limited dissection of the ascending aorta presenting with aortic valve regurgitation
47. Cardiac tamponade by aortic dissection in a hospital without cardiothoracic surgery
48. Rupture of an aortic dissection into the pericardium
49. Spectrum of acute aortic dissection of the ascending aorta: A transesophageal echocardiographic study
50. Aorta-right atrial fistula: An unusual complication of ascending aortic dissection
51. Atrioventricular block complicating dissecting aneurysm of the aorta
52. Clinical prediction of acute aortic dissection
53. Treatment of patients with aortic dissection presenting with peripheral vascular complications
54. Lower-extremity ischemia in aortic dissection: Report of three cases
55. Aortic dissection manifested as leg ischemia
56. Dissecting thoracic aortic aneurysm in a 16-year-old
57. Dissecting aneurysm of aorta: A new sign
58. Aortic dissection presenting as superior vena cava syndrome
59. Right pulmonary artery occlusion secondary to a dissecting aortic aneurysm
60. Dissecting aneurysm of the thoracic aorta presenting as right atrial obstruction
61. Neurologic manifestations of dissecting aneurysm of the aorta
62. Neurovascular syndromes in aortic dissection
63. Painless dissections of the aorta presenting as acute neurologic syndromes
64. Painless aortic dissection: An unusual cause of syncope
65. Painless aortic dissection presenting as a myelopathy
66. Painless acute aortic dissection presenting as left lower extremity numbness
67. Painless aortic dissection presenting as spinal cord ischemia ischemia
68. Acute thoracic aortic occlusion resulting from complex aortic dissection and presenting as paraplegia
69. Painless dissection of the thoracic aorta
70. Painless ischemic lumbosacral plexopathy and aortic dissection
71. Painless aortic dissection presenting as hoarseness of voice: Cardiovocal syndrome; Ortner's syndrome
72. Left pleural hemorrhagic effusion: A presenting sign of thoracic aortic dissecting aneurysm
73. Painless left pleural hemorrhagic effusion: An unusual presentation of dissecting ascending aortic aneurysm
74. Aorto-pulmonary fistula: A rare event in the evolution of a dissecting aneurysm of the thoracic aorta
75. Unilateral pulmonary edema related to pulmonary artery compression resulting from acute dissecting aortic aneurysm
76. Haemoptysis as the sole presenting symptom of dissection of the aorta
77. Aortic dissection masquerading as gastrointestinal disease
78. Dissecting aneurysms perforating the esophagus
79. Dissecting thoracic aortic aneurysm in a 22-year-old man
80. Superior mesenteric artery syndrome due to a large dissecting abdominal aortic aneurysm
81. Foregut ischemia and odynophagia in a patient with a type III aortic dissection
82. Replacement of entire aorta from aortic valve to bifurcation during one operation
83. Diagnostic imaging in the evaluation of suspected aortic dissection: Old standards and new directions
84. Diagnostic value of imaging techniques for aortic dissection
85. Roentgenographic findings in thoracic aortic dissection
86. Aortic dissection: A statistical analysis of the usefulness of plain chest radiographic findings
87. Investigation of suspected dissection of the thoracic aorta
88. The diagnosis of thoracic dissection by noninvasive imaging procedures
89. CT diagnosis of type A aortic dissection not demonstrated by aortography
90. Diagnostic techniques in suspected thoracic aortic dissection
91. Computed tomography of thoracic aortic dissection: Accuracy and pitfalls
92. Spiral CT of the thorax with reduced volume of contrast material: A comparative study
93. Helical (spiral) CT in the evaluation of emergent thoracic aortic syndromes: Traumatic aortic rupture, aortic aneurysm, aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcer
94. Spiral CT for three-dimensional imaging of complex vascular anatomy
95. Spiral CT in acute non-cardiac chest pain
96. Usefulness of turboFLASH dynamic MR imaging of dissecting aneurysms of the thoracic aorta
97. Postoperative follow-up aortic dissection
98. Cine MR in dissection of the thoracic aorta
99. Residual dissection of the thoracic aorta after repair: MRI-angiographic correlation
100. Postoperative evaluation of ascending aortic prosthetic conduits by magnetic resonance imaging
101. Aortic aneurysm and dissection: Normal MR imaging and CT findings after surgical repair with the continuous-suture graft-inclusion technique
102. MR imaging of the aorta after surgery for aortic dissection
103. Thoracic aortic dissection: Pitfalls and artifacts in MR imaging
104. Diagnosis of dissecting aortic aneurysm with suprasternal echocardiography
105. Two-dimensional echocardiographic diagnosis of aortic dissection
106. Echocardiography in diagnosis of aortic dissection
107. Utility of two-dimensional echocardiography in suspected ascending aortic dissection
108. Assessment of transesophageal Doppler echocardiography in dissecting aortic aneurysm
109. Detection of aortic dissection by transesophageal echocardiography
110. Accuracy of biplane and multiplane transesophageal echocardiography in diagnosis of typical acute aortic dissection and intramural hematoma
111. Role of transesophageal echocardiography in the diagnosis and management of traumatic aortic disruption
112. Emergency surgical intervention of the acute aortic dissection with the rapid diagnosis by transesophageal echocardiography
113. Usefulness of transesophageal echocardiography in assessment of aortic dissection
114. Diagnosis of circumferential dissection of the ascending aorta by transesophageal echocardiography
115. Diagnostic strategies in suspected aortic dissections: Comparison of computed tomography, aortography, and transesophageal echocardiography
116. The complementary role of magnetic resonance imaging, Doppler echocardiography, and computed tomography in the diagnosis of dissecting thoracic aneurysm
117. Role of transesophageal echocardiography in dissection of the aorta and evaluation of degenerative aortic disease
118. Diagnosis of aortic dissection: The value of transesophageal echocardiography
119. Transesophageal echocardiography in the diagnosis of diseases of the thoracic aorta: Part 1. Aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer of the aorta
120. Value of transesophageal echocardiography combined with computed tomography for assessing repaired type A aortic dissection
121. Linear reverberation in the ascending aorta: A cause of multiplane transesophageal echocardiographic artifact
122. Usefulness of transesophageal echocardiography in the assessment of aortic dissection
123. Radiologic evaluation of aortic dissection
124. Digital subtraction angiography of aortic dissection
125. Dissecting aneurysms of the aorta: Aortographic features affecting prognosis
126. Spectrum of conditions initially suggesting acute aortic dissection but with negative aortogram
127. A novel immunoassay of smooth muscle myosin heavy chain in serum
128. Increased serum concentration of myosin heavy chain in aortic dissection: Discussion of 2 cases
129. Novel biochemical diagnostic method for aortic dissection: Results of a prospective study using an immunoassay of smooth muscle myosin heavy chain
130. Diagnostic implications of elevated levels of smooth-muscle myosin heavy-chain protein in acute aortic dissection: The smooth muscle myosin heavy chain study
131. Ambulatory follow-up of aortic dissection by transesophageal two dimensional and color coded Doppler echocardiography
132. Transesophageal echocardiographic description of the mechanisms of aortic regurgitation in acute type A aortic dissection: Implications for aortic valve repair
133. Evaluation of aortic insufficiency by Doppler flow mapping
134. Dissection of the aortic aneurysms: Improving early and long-term surgical results
135. Transesophageal echocardiography: First-line imaging for aortic diseases
136. Optimal diagnostic imaging of aortic dissection
137. Aortic intramural hemorrhage visualized by transesophageal echocardiography: Findings and prognostic implications
138. Intramural hematoma of the thoracic aorta
139. Natural history and serial morphology of aortic intramural hematoma: A novel variant of aortic dissection
140. Aortic dissection: Atypical patterns seen at MR imaging
141. Radiologic evaluation of penetrating aortic atherosclerotic ulcer
142. Penetrating atherosclerotic ulcer of the aorta: Imaging features and disease concept
143. Penetrating atherosclerotic aortic ulcers: The role of transesophageal echocardiography in diagnosis and clinical management
144. Treatment of dissecting aneurysms of aorta without surgery
145. Intravenous labetalol in acute aortic dissection
146. Outcome of 290 patients with aortic dissection: A 12-year multicentre experience
147. Effect of medical and surgical therapy on aortic dissection evaluated by transesophageal echocardiography: Implications for prognosis and therapy; the European Cooperative Study Group on Echocardiography
148. Surgical treatment of thoracic aortic aneurysms
149. Aortic dissection: Early diagnosis and surgical management are the keys to survival
150. Retrograde ascending aortic dissection: A diagnostic and therapeutic challenge
151. Long term experience with descending aortic dissection: The complication-specific approach
152. Risk factors for aortic dissection: A necropsy study of 161 cases
153. Surgical results of Stanford type B aortic dissection: Comparisons between partial and subtotal replacement of the dissected aorta
154. Independent determinants of operative mortality for patients with aortic dissections
155. Aortic dissection: Anatomic types and surgical approaches
156. Use of biological glue in acute aortic dissection: Preliminary clinical results with a new surgical technique
157. Glue aortoplasty as an alternative to resection and grafting for the treatment of aortic dissection
158. Fibrin adhesive: An important hemostatic adjunct in cardiovascular operations
159. The efficacy and mid-term results with use of gelatin resorcin formalin (GRF) glue for aortic surgery
160. Surgery of type A acute aortic dissection with Gelatine-Resorcine-Formol biological glue: A twelve-year experience
161. The proper use of glue: A 20-year experience with the GRF glue in acute aortic dissection
162. Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection
163. Aortic dissection: Percutaneous management of ischemic complications with endovascular stents and balloon fenestration
164. Endovascular stent-graft placement for the treatment of acute aortic dissection
165. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement
166. Self-expanding endovascular stent-graft implant for treatment of descending aortic diseases
167. The dissected aorta: Percutaneous treatment of ischemic complications-principles and results
168. Meta-analysis of 143 reported cases of aortic intramural hematoma
169. Endovascular treatment of descending thoracic aortic aneurysms and dissections
170. Acute and chronic aortic dissections: Determinants of long-term outcome for operative survivors
171. Early and late risk factors in surgical treatment of acute type A aortic dissection
172. Surgical management of aortic dissection during a 30-year period
173. Long-term survival of patients with treated aortic dissection
174. Aortic dissection and dissecting aortic aneurysms
175. Dissection of the aorta and dissecting aortic aneurysms
176. Reoperations after operation on the thoracic aorta: Etiology, surgical technique and prevention
177. The continuing dilemma concerning medical versus surgical management of patients with acute type B dissections
178. Aortic intramural hematoma: An increasingly recognized and potentially fatal entity