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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
REVIEWS ALL ABOUT AORTIC DISSECTIONS
Italian Journal of Vascular and Endovascular Surgery 2010 Giugno;17(2):103-6
Emergency assessment of acute aortic dissection
El-Arousy H., Mastracci T. M.
Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Type A, or proximal, aortic dissection is a surgical emergency, and exists as a continuum of diseases known as acute aortic syndromes. Risk factors for dissection have been observed to be hypertension, connective tissue disorders, previous cardiac surgery and iatrogenic injuries. Computed tomography (CT) is the gold standard for diagnosis and surveillance of patients with both acute and chronic aortic dissections. In this era of high resolution computed tomography, clinicians have increasing access to observe the progression of disease in dissected aortas, and can infer natural history. Morphological characteristics of the aorta, including curvature, are being explored as risk factors for dissection.