Acute aortic dissection

Ranasinghe, Aaron; Strong, Daniel; Boland, Barry; Bonser, Robert S.

doi:10.1136/bmj.d4487

Cited by 12 publications

(6 citation statements)

References 15 publications

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“…9 Acute rupture or inadequate perfusion-depending on the site and extent of the dissection-may cause a patient to become unconscious. 10 Interrupted perfusion may result in neurological deficits, symptomatic limb ischaemia, or visceral ischaemia. A cross sectional study of 617 patients with type A dissection found focal neurological deficits in 17% of patients.…”

Section: How Do Patients Present?mentioning

confidence: 99%

The diagnosis and management of aortic dissection

Thrumurthy¹,

Karthikesalingam²,

Patterson³

et al. 2011

BMJ

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Section: How Do Patients Present?mentioning

confidence: 99%

The diagnosis and management of aortic dissection

Thrumurthy¹,

Karthikesalingam²,

Patterson³

et al. 2011

BMJ

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“…AD is a true vascular emergency that carries a high mortality rate. Unfortunately, delays in diagnosis are common and adversely affect patient outcome [4,6,7]. Unfortunately, delays in diagnosis are common and adversely affect patient outcome [4,6,7].…”

Section: Aortic Dissectionmentioning

confidence: 99%

“…The classic textbook description of tearing or ripping back or chest pain is present infrequently [11]. Moreover, up to 53% of patients with AD present with back pain, especially patients with dissection of the descending aorta [6]. Moreover, up to 53% of patients with AD present with back pain, especially patients with dissection of the descending aorta [6].…”

Section: Aortic Dissectionmentioning

confidence: 99%

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Back pain

Mattu

Grossman

Rosén

2016

Geriatric Emergencies

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“…The well documented mortality rise of 1-2% for each hour following type A dissection highlights the importance of the rapid, easily accessible, noninvasive diagnostic method [ 4 - 6 ]. Computed tomography (CT) is considered a gold standard that enables to visualize the entire aorta and to distinguish among the different types of acute aortic syndromes [ 3 , 7 , 8 ]. However, this technique is not always available, requires transferring the patient to the CT lab and often generates a significant delay in treatment.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and accuracy of bedside transthoracic echocardiography in diagnosis of acute proximal aortic dissection

Sobczyk

Nycz

2015

Cardiovasc Ultrasound

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Study objectiveThe purpose of the present study was to establish the accuracy of transthoracic echocardiography (TTE) in diagnosis of acute type A aortic dissection in comparison to computed tomography (CT), with reference to the intraoperative image.MethodsThe retrospective analysis included 178 patients referred to the cardiac surgery unit in our center due to acute type A dissection between 01-01-2008 and 31-12-2013, who underwent both TTE and CT. Intraoperative image was considered as a reference.ResultsStatistical analysis did not show any significant differences between computed tomography and echocardiography in the detection of the proximal aortic dissection. In patients with aortic valve abnormalities, procedure of choice was replacement by a composite graft (77,59%), whereas patients with a normal image of aortic valve were more likely to have the valve sparing procedure (50,88%). The R-Spearman statistics shows a strong positive correlation between maximum diameter of ascending aorta measured by TTE and CT (cc 0.869) and TTE and intraoperative measurement (cc 0.844).ConclusionOur data confirm that transthoracic echocardiography is a reliable method for diagnosis of proximal aortic dissection. TTE provides a reliable value of maximum diameter of the ascending aorta in comparison to both CT and direct intraoperative measurement. Moreover, transthoracic echocardiography gives the additional information that influences the operative technique of choice and identifies the high-risk patients (cardiac tamponade, severe aortic dilatation, severe aortic regurgitation). Our retrospective analysis confirms the pivotal role of TTE in the evaluation of the patients with suspected proximal aortic dissection in emergency room setting.

show abstract

Acute aortic dissection

Cited by 12 publications

References 15 publications

The diagnosis and management of aortic dissection

The diagnosis and management of aortic dissection

Back pain

Feasibility and accuracy of bedside transthoracic echocardiography in diagnosis of acute proximal aortic dissection

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