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Italian Journal of Vascular and Endovascular Surgery 2010 June;17(2):103-6

Copyright © 2010 EDIZIONI MINERVA MEDICA

language: English

Emergency assessment of acute aortic dissection

El-Arousy H., Mastracci T. M.

Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA


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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.

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