Acute aortic syndrome: A new look at an old conundrum

Postgraduate Medical Journal

Volumn 86, Issue 1011, 2010, Pages 52-61

  Vilacosta, I ^a   Aragoncillo, P ^a   Canadas V ^a   San Roman J A ^b   Ferreiros J ^a   Rodriguez E ^a  

^a HOSPITAL CLÍNICO SAN CARLOS   (Spain)

^b HOSPITAL CLÍNICO UNIVERSITARIO DE VALLADOLID   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

CONTRAST MEDIUM; D DIMER; HEART ENZYME;

ABDOMINAL AORTA; ACUTE CORONARY SYNDROME; ACUTE DISEASE; AORTA ARCH; AORTA ATHEROSCLEROSIS; AORTA DISEASE; AORTA DISSECTION; AORTA MEDIA; AORTA RECONSTRUCTION; AORTA RUPTURE; AORTA WALL; AORTITIS; ASCENDING AORTA; BLOOD FLOW; COLOR ULTRASOUND FLOWMETRY; COMPUTER ASSISTED TOMOGRAPHY; DESCENDING AORTA; DIAGNOSTIC ACCURACY; DISEASE COURSE; ELECTROCARDIOGRAPHY; ENDOVASCULAR SURGERY; HEMATOMA; HUMAN; HYPERTENSION; ILIAC ARTERY; NUCLEAR MAGNETIC RESONANCE; PATHOPHYSIOLOGY; POSITRON EMISSION TOMOGRAPHY; REMISSION; REVIEW; RISK FACTOR; STENT; THORACIC AORTA; THORAX PAIN; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 74949137758     PISSN: 00325473     EISSN: 14690756     Source Type: Journal    
DOI: 10.1136/hrt.2008.153650     Document Type: Review

References (68)

1. Vilacosta I, San Román JA. Acute aortic syndrome. Heart 2001;85:365-8.
2. Macura KJ, Corl FM, Fishman EK, et al. Pathogenesis in acute aortic syndromes: aortic dissection, intramural hematoma, and penetrating atherosclerotic aortic ulcer. AJR Am J Roentgenol 2003;181:309-16.
3. Ahmad F, Cheshire N, Hamady M. Acute aortic syndrome: pathology and therapeutic strategies. Postgrad Med J 2006;82:305-12.
4. Manghat NE, Morgan-Hughes GJ, Roobottom CA. Multi-detector row computed tomography: imaging in acute aortic syndrome. Clin Radiol 2005;60:1256-67.
5. Murray CA, Edwards JE. Spontaneous laceration of ascending aorta. Circulation 1973;47:848-59.
6. Svensson LG, Labib SB, Eisenhauer AC, et al. Intimal tear without hematoma. An important variant of aortic dissection that can elude current imaging techniques. Circulation 1999;99:1331-6.
7. Nienaber CA, von Kodolitsch Y, Petersen B, et al. Intramural hemorrhage of the thoracic aorta: diagnostic and therapeutic implications. Circulation 1995;92:1465-72.
8. Kouchoukos NT, Dougenis D. Surgery of the thoracic aorta. N Engl J Med 1997;336:1876-88.
9. Wooley CF, Sparks EH, Boudoulas H. Aortic pain. Prog Cardiovasc Dis 1998;40:563-89.
10. Von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Arch Intern Med 2000;160:2977-82.
11. Weber T, Högler S, Auer J, et al. D-dimer in acute aortic dissection. Chest 2003;123:1375-8.
12. Eggebrecht H, Naber CK, Bruch C, et al. Value of plasma fibrin D-dimers for detection of acute aortic dissection. J Am Coll Cardiol 2004;44:804-9.
13. Ohlmann P, Faure A, Morel O, et al. Diagnostic and prognostic value of circulating Ddimers in patients with acute aortic dissection. Crit Care Med 2006;34:1358-64.
14. Sodeck G, Domanovits H, Schillinger M, et al. D-dimer in ruling out acute aortic dissection: a systematic review and prospective cohort study. Eur Heart J 2007;28:3067-75.
15. Hirst AE Jr, Johns VJ Jr, Kime SY Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine (Baltimore) 1958;37:217-9.
16. Von Kodolitsch Y, Nienaber CA, Dieckmann C, et al. Chest radiography for the diagnosis of acute aortic syndrome. Am J Med 2004;116:73-7.
17. Svensson LG, Crawford ES, Coselli JS, et al. Impact of cardiovascular operation on survival in the Marfan patient. Circulation 1989;80(suppl I):I-233-242.
18. Gott VL, Gillinov AM, Pyeritz RE, et al. Aortic root replacement: risk factor analysis of a seventeen-year experience with 270 patients. J Thorac Cardiovasc Surg 1995;109:536-44.
19. Vilacosta I, San Román JA, Ferreirós J, et al. Natural history and serial morphology of aortic intramural hematoma: a novel variant of aortic dissection. Am Heart J 1997;134:495-507.
20. Coady MA, Rizzo JA, Hammond GL, et al. Penetrating ulcer of the thoracic aorta: What is it? How do we recognize it? How do we manage it? J Vasc Surg 1998;27:1006-16.
21. Higgins CB. Modern imaging of the acute aortic syndrome. Am J Med 2004;116:134.
22. Kuehl H, Eggebrecht H, Boes T, et al. Detection of inflammation in patients with acute aortic syndrome: comparison of FDG-PET/CT imaging and serological markers of inflammation. Heart 2008;94:1472-7.
23. Roberts WC. Aortic dissection: anatomy, consequences, and causes. Am Heart J 1981;101:195-214.
24. Vilacosta I, Castillo JA, San Román JA, et al. New echo-anatomical correlations in aortic dissection. Eur Heart J 1995;16:126-8.
25. Vilacosta I. Síndrome aórtico agudo. Rev Esp Cardiol 2003;56(Suppl 1):29-39.
26. Mukherjee D, Evangelista A, Nienaber CA, et al. Implications of periaortic hematoma in patients with acute aortic dissection (from the International Registry of Acute Aortic Dissection). Am J Cardiol 2005;96:1734-8.
27. Evangelista A, Dominguez R, Sebastia C, et al. Prognostic value of clinical and morphologic findings in short-term evolution of aortic intramural haematoma. Eur Heart J 2004;25:81-7.
28. Ahmad F, Cheshire N, Hamady M. Acute aortic syndrome: pathology and therapeutic strategies. Postgrad Med J 2006;82:305-12.
29. Mohr-Kahaly S, Erbel R, Kearney P, et al. Aortic intramural hemorrhage visualized by transesophageal echocardiography: findings and prognostic implications. J Am Coll Cardiol 1994;23:658-64.
30. O'Gara PT, DeSanctis RW. Acute aortic dissection and its variants. Toward a common diagnostic and therapeutic approach. Circulation 1995;92:1376-8.
31. Gore I. Pathogenesis of dissecting aneurysm of the aorta. Arch Pathol 1952;53:142-53.
32. Wilson SK, Hutchins GM. Aortic dissecting aneurysms: causative factors in 204 subjects. Arch Pathol Lab Med 1982;106:175-80.
33. Vilacosta I, San Román JA, Peral V, et al. Imaging aortic intramural hematoma. Identification of two groups of patients. Circulation 1995;92(Suppl I):I307.
34. Vilacosta I, Castillo JA, Peral V, et al. Intramural aortic hematoma following intraaortic balloon counterpulsation. Documentation by transesophageal echocardiography. Eur Heart J 1995;16:2015-6.
35. Parmley LF, Mattingly TW, Manion WC, et al. Nonpenetrating traumatic injury of the aorta. Circulation 1958;17:1086-101.
36. Sheldon WS, Vandervoort PM, Black IW, et al. Aortic intramural hematoma in patients evaluated for aortic dissection: clinical, echocardiographic, radiographic and pathologic findings. Circulation 1994;90(Suppl I):I385.
37. Vilacosta I, San Román JA, Aragoncillo P, et al. Penetrating atherosclerotic aortic ulcer: documentation by transesophageal echocardiography. J Am Coll Cardiol 1998;32:83-9.
38. Berdat PA, Carret T. Aortic dissection limited to the ascending aorta mimicking intramural hematoma. Eur J Cardiothorac Surg 1999;15:108-9.
39. Willens HJ, Kessler KM. Transesophageal echocardiography in the diagnosis of diseases of the thoracic aorta. Part I. Aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer of the aorta. Chest 1999;166:1772-9.
40. Vilacosta I, Ferreirós J, Bustos A, et al. Intramural aortic hematoma and aortic ulcers, physiopathology and natural history. In: Rousseau H, Verhoye J-P, Heautot J-F, eds. Thoracic aortic diseases. Berlin Heidelberg: Springer, 2006:277-88.
41. Vilacosta I, Martín de Dios R, González Pinto A. Aortic intramural hematoma during coronary angioplasty: insights into the pathogenesis of intramedial hemorrhage. J Am Soc Echocardiogr 2000;13:403-6.
42. Maraj R, Rerkpattanapipat P, Jacobs LE, et al. Meta-analysis of 143 reported cases of aortic intramural hematoma. Am J Cardiol 2000;86:664-8.
43. Evangelista A, Mukherjee D, Mehta RH, et al. Acute intramural hematoma of the aorta. A mystery in evolution. Circulation 2005;111:1063-70.
44. Von Kodolitsch Y, Csösz SK, Koschyk DH, et al. Intramural hematoma of the aorta. Predictors of progression to dissection and rupture. Circulation 2003;107: 1158-63.
45. Neri E, Capannini G, Carone E, et al. Evolution toward dissection of an intramural hematoma of the ascending aorta. Ann Thorac Surg 1999;68:1855-6.
46. Jani S, Liou M, Sibert KA, et al. Serial images demonstrating proximal extension of an aortic intramural hematoma. Circulation 2007;115:e38-40.
47. Kaji S, Nishigami K, Akasaka T, et al. Prediction of progression or regression of type A aortic intramural hematoma by computed tomography. Circulation 1999;100(Suppl II):281-6.
48. Moizumi Y, Komatsu T, Motoyoshi N, et al. Clinical features and long-term outcome of type A and type B intramural hematoma of the aorta. J Thorac Cardiovasc Surg 2004;127:421-7.
49. Sueyoshi E, Imada T, Sakamoto I, et al. Analysis of predictive factors for progression of type B aortic intramural hematoma with computed tomography. J Vasc Surg 2002;35:1179-83.
50. Ganaha F, Miller DC, Sugimoto K, et al. The prognosis of aortic intramural hematoma with and without penetrating atherosclerotic ulcer: a clinical and radiological analysis. Circulation 2002;106:342-8.
51. Sohn D-W, Jung J-W, Oh B-H, et al. Should ascending aortic intramural hematoma be treated surgically? Am J Cardiol 2001;87:1024-6.
52. Shimizu H, Yoshino H, Udagawa H, et al. Prognosis of aortic intramural hemorrhage compared with classic aortic dissection. Am J Cardiol 2000;85:792-5.
53. Song J-K, Kim H-S, Kang D-H, et al. Different clinical features of aortic intramural hematoma versus dissection involving the ascending aorta. J Am Coll Cardiol 2001;37:1604-10.
54. Stanson AW, Kazmier FJ, Hollier LH, et al. Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations. Ann Vasc Surg 1986;1:15-23.
55. Yucel EK, Steinberg FL, Egglin TK, et al. Penetrating aortic ulcers: diagnosis with MR imaging. Radiology 1990;177:779- 81.
56. Movsowitz HD, David M, Movsowitz C, et al. Penetrating atherosclerotic aortic ulcers: the role of transesophageal echocardiography in diagnosis and clinical management. Am Heart J 1993;126:745-7.
57. Atar S, Nagai T, Birnbaum Y, et al. Transesophageal echocardiographic Doppler findings in patients with penetrating aortic ulcers. Am J Cardiol 1999;83: 133-5.
58. Chiles C, Carr JJ. Vascular diseases of the thorax: evaluation with multidetector CT. Radiol Clin North Am 2005;43:543-69.
59. Harris JA, Bis KG, Glover JL, et al. Penetrating atherosclerotic ulcers of the aorta. J Vasc Surg 1994;19:90-9.
60. Ando Y, Minami H, Muramoto H, et al. Rupture of thoracic aorta caused by penetrating aortic ulcer. Chest 1994;106:624-6.
61. Vilacosta I, San Román JA, Aragoncillo P. Atherosclerotic aortic rupture: documentation by transesophageal echocardiography. J Am Soc Echocardiogr 2001;14:152-4.
62. Tisnado J, Cho SR, Beachley MC, et al. Ulcerlike projections: a precursor angiographic sign to thoracic aortic dissection. AJR Am J Roentgenol 1980;135:719-22.
63. Hayashi H, Matsuoka Y, Sakamoto I, et al. Penetrating atherosclerotic ulcer of the aorta: imaging features and disease concept. Radiographics 2000;20: 995-1005.
64. Chirillo F, Salvador L, Bacchion F, et al. Clinical and anatomical characteristics of subtle-discrete dissection of the ascending aorta. Am J Cardiol 2007;100:1314-9.
65. Comfort SR, Curry RC Jr, Roberts WC. Sudden death while playing tennis due to a tear in the ascending aorta (without dissection) and probable transient compression of the left main coronary artery. Am J Cardiol 1996;78:493-5.
66. Jamieson WRE, Munro AL, Miyagishima RT, et al. Aortic dissections: early diagnosis and surgical management are the keys to survival. Can J Surg 1982;25:145-9.
67. Spittell PC, Spittell JA Jr, Joyce JW, et al. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc 1993;68:642-51.
68. Hansen MS, Nogareda GJ, Hutchison SJ. Frequency of and inappropriate treatment of misdiagnosis of acute aortic dissection. Am J Cardiol 2007;99:852-6.