Acute type A aortic dissection: an update on a still challenging disease

J Cardiovasc Med (Hagerstown). 2007 Feb;8(2):102-7. doi: 10.2459/01.JCM.0000260210.87812.4a.

Abstract

The aim of this report is to offer a concise review of the current knowledge of type A aortic dissection aetiology and pathogenesis, to propose an updated diagnostic algorithm, to provide descriptions of current surgical and endovascular techniques for treatment, and to emphasise criteria for patient follow-up. Additional information regarding the institutional experience developed in a tertiary university hospital with a 25-year exposure to aortic dissection is also included to provide a comprehensive view of a clinical entity that still challenges physicians and surgeons.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Aortic Aneurysm / diagnosis*
  • Aortic Aneurysm / etiology
  • Aortic Aneurysm / mortality
  • Aortic Aneurysm / physiopathology
  • Aortic Aneurysm / surgery*
  • Aortic Dissection / diagnosis*
  • Aortic Dissection / etiology
  • Aortic Dissection / mortality
  • Aortic Dissection / physiopathology
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / methods
  • Decision Trees*
  • Hospital Mortality
  • Hospitals, University / statistics & numerical data
  • Humans
  • Italy / epidemiology
  • Odds Ratio
  • Practice Guidelines as Topic
  • Reoperation
  • Retrospective Studies
  • Risk Assessment
  • Risk Factors
  • Stents
  • Treatment Outcome