Management of acute aortic dissection and thoracic aortic rupture
Abstract Background Both acute aortic dissection and ruptured aortic aneurysm are leading causes of death in cardiovascular disease. These life-threatening conditions have recently been categorized as acute aortic syndrome. This review describes the etiology, clinical presentation, and therapeutic o...
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| Format: | Article |
| Language: | English |
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BMC
2018-03-01
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| Series: | Journal of Intensive Care |
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| Online Access: | http://link.springer.com/article/10.1186/s40560-018-0287-7 |
| _version_ | 1817980486347128832 |
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| author | Toshihiro Fukui |
| author_facet | Toshihiro Fukui |
| author_sort | Toshihiro Fukui |
| collection | DOAJ |
| description | Abstract Background Both acute aortic dissection and ruptured aortic aneurysm are leading causes of death in cardiovascular disease. These life-threatening conditions have recently been categorized as acute aortic syndrome. This review describes the etiology, clinical presentation, and therapeutic options for acute aortic syndrome including acute aortic dissection and ruptured aortic aneurysm. Main body Several diagnostic tools for detecting these critical conditions have been developed including computed tomography, ultrasonography, magnetic resonance imaging, and laboratory tests. Early and accurate diagnosis is most important to determine appropriate treatment. Initial treatment for these conditions should be aimed at controlling pain and the hemodynamic state with further treatment based on the imaging diagnosis and hematological assessment. Surgical outcomes after acute aortic syndrome are improving gradually; however, mortality remains high. Recently, thoracic endovascular aortic repair has become an alternative technique to treat complicated type B aortic dissection. Rapid treatment after early diagnosis is essential to save patients’ lives. Conclusions Continuous advances in imaging and treatment technologies are improving short- and long-term outcomes in patients with acute aortic syndrome. Knowledge and interest in intensive care medicine in this area are contributing to improved outcomes, and further research into this life-threatening disease will lead to improvements in diagnosis and management. |
| first_indexed | 2024-04-13T22:54:18Z |
| format | Article |
| id | doaj.art-c02322860a5c4a60b8a83e0c2e739ea6 |
| institution | Directory Open Access Journal |
| issn | 2052-0492 |
| language | English |
| last_indexed | 2024-04-13T22:54:18Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Intensive Care |
| spelling | doaj.art-c02322860a5c4a60b8a83e0c2e739ea62022-12-22T02:26:05ZengBMCJournal of Intensive Care2052-04922018-03-01611810.1186/s40560-018-0287-7Management of acute aortic dissection and thoracic aortic ruptureToshihiro Fukui0Department of Cardiovascular Surgery, Kumamoto University HospitalAbstract Background Both acute aortic dissection and ruptured aortic aneurysm are leading causes of death in cardiovascular disease. These life-threatening conditions have recently been categorized as acute aortic syndrome. This review describes the etiology, clinical presentation, and therapeutic options for acute aortic syndrome including acute aortic dissection and ruptured aortic aneurysm. Main body Several diagnostic tools for detecting these critical conditions have been developed including computed tomography, ultrasonography, magnetic resonance imaging, and laboratory tests. Early and accurate diagnosis is most important to determine appropriate treatment. Initial treatment for these conditions should be aimed at controlling pain and the hemodynamic state with further treatment based on the imaging diagnosis and hematological assessment. Surgical outcomes after acute aortic syndrome are improving gradually; however, mortality remains high. Recently, thoracic endovascular aortic repair has become an alternative technique to treat complicated type B aortic dissection. Rapid treatment after early diagnosis is essential to save patients’ lives. Conclusions Continuous advances in imaging and treatment technologies are improving short- and long-term outcomes in patients with acute aortic syndrome. Knowledge and interest in intensive care medicine in this area are contributing to improved outcomes, and further research into this life-threatening disease will lead to improvements in diagnosis and management.http://link.springer.com/article/10.1186/s40560-018-0287-7Acute aortic syndromeAcute aortic dissectionAortic aneurysmRuptureStent graft |
| spellingShingle | Toshihiro Fukui Management of acute aortic dissection and thoracic aortic rupture Journal of Intensive Care Acute aortic syndrome Acute aortic dissection Aortic aneurysm Rupture Stent graft |
| title | Management of acute aortic dissection and thoracic aortic rupture |
| title_full | Management of acute aortic dissection and thoracic aortic rupture |
| title_fullStr | Management of acute aortic dissection and thoracic aortic rupture |
| title_full_unstemmed | Management of acute aortic dissection and thoracic aortic rupture |
| title_short | Management of acute aortic dissection and thoracic aortic rupture |
| title_sort | management of acute aortic dissection and thoracic aortic rupture |
| topic | Acute aortic syndrome Acute aortic dissection Aortic aneurysm Rupture Stent graft |
| url | http://link.springer.com/article/10.1186/s40560-018-0287-7 |
| work_keys_str_mv | AT toshihirofukui managementofacuteaorticdissectionandthoracicaorticrupture |