Síndrome aórtico agudo: Revisión de la literatura y actualización del tema

S, Javier Vega; Zamorano, J.; C, Nicolás Pereira; G, Alfonso Galleguillos

doi:10.4067/s0034-98872014000300009

Cited by 4 publications

(4 citation statements)

References 62 publications

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“…There are no established guidelines for the follow up of spontaneous ruptures, but recommendations include CT assessment of the aorta at one, three, six, and 12 months, and annually thereafter to detect new complications or recurrence as well as to monitor risk factors, such as atherosclerosis and hypertension. This follow up strategy may be used in spontaneous rupture cases until new studies indicate the best option 10 …”

Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

Guimarães¹,

Pessoa²,

Oliveira

et al. 2019

EJVES Short Reports

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Introduction Approximately 40 cases of spontaneous rupture of the aorta have been described in the literature. Diagnosis can be challenging, and a high index of clinical suspicion enabling prompt treatment can be lifesaving. Report This report presents the case of a 73 year old man who had three multilevel ruptures of the aorta at different times, all treated endovascularly. The patient had a good post-operative course, with no complaints during regular follow up. Discussion Clinical presentation was non-specific because the ruptures were contained, but spontaneous rupture of the aorta can manifest with a catastrophic presentation and hypovolaemic shock, requiring immediate treatment. The endovascular technique used was safe and resolved the patient's symptoms.

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Section: Discussionmentioning

confidence: 99%

Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

Guimarães¹,

Pessoa²,

Oliveira

et al. 2019

EJVES Short Reports

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“…La UPAA es una patología que tiene una leve predilección por el sexo masculino (60% de los casos) 3 , generalmente se asocia a HTA y enfermedad aterosclerótica avanzada que dan a lugar a la disrupción de la capa intima de la aorta 6,[8][9][10] . Se localiza preferentemente en la aorta torácica descendente (85-95%), siendo inusual su localización en la AA (1,8%).…”

Section: Discussionunclassified

“…La incidencia del SAA es de 3 casos por cada 100.000 habitantes al año, de los cuales, 80% co-rresponden a DAo, 15% HI y 5% a UPA 3 . La UPA se localiza principalmente en la porción media y distal de la aorta torácica descendente (62-90%) o en arco aórtico (3,4-25%), mientras que aproximadamente solo 1,8% corresponde a la aorta ascendente (AA) 4 .…”

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Tratamiento quirúrgico de la úlcera penetrante de aorta ascendente. Casos clínicos

et al. 2017

Rev. méd. Chile

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Penetrating ulcer of the ascending aorta treated surgically. Report of two casesPenetrating aortic ulcer (PAU) is an ulceration of an atherosclerotic plaque which disrupts the aortic internal elastic lamina and that can evolve to an intramural hematoma (IH), aortic dissection or aortic rupture. We report two cases with PAU. A 73 year-old woman with a history of hypertension, presented with acute chest pain of three days of evolution and a hypertensive emergency. An electrocardiogram showed ST-segment elevation and elevated cardiac enzymes. Computed tomography (CT) scans showed an acute ascending aortic mural hematoma secondary to PAU and hemopericardium. Replacement of ascending aorta was performed with a vascular prosthesis with extracorporeal circulation (ECC). PAU and IH were confirmed by histopathology. A 62-year old woman with a history of hypertension, diabetes and chronic obstructive pulmonary disease, consulted for abdominal pain of two days of evolution. A thoracic-abdominal CT scan visualized an uncomplicated PAU and an abdominal aortic aneurysm. Because of abdominal pain and signs of peritoneal irritation, an exploratory laparotomy was performed finding a typhlitis. Resection and ileo-ascendo-anastomosis were performed. A new CT scan showed PAU with high risk of rupture without a clinical acute aortic syndrome. The patient was operated replacing the ascending aorta with a vascular prosthesis using ECC. Three PAU were found. Histopathology confirmed the diagnosis. Both patients evolved without postoperative complications.

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“…El síndrome aórtico agudo está constituido por tres entidades, la disección aórtica (DA), el hematoma intramural (HIM) y la úlcera penetrante aortica (UPA) 2 . Su incidencia es de 3 casos por cada 100.000 habitantes, de los cuales el 80% corresponden a DA, 15% HIM y 5% UPA 2,3 .…”

Section: Introductionunclassified

Reparacion endovascular de la aorta torácica, resultados a largo plazo

et al. 2021

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Introducción: Las diversas patologías de la aorta torácica descendente, representan una implícita amenaza para la vida, y son potencialmente tratables mediante reparación endovascular. Objetivo: Evaluar los resultados de la reparación endovascular de la aorta torácia descendente (TEVAR). Materiales y Método: Estudio observacional, retrospectivo y descriptivo, donde se analiza TEVAR, en un período de 10 años (2009 al 2019), en el Hospital Dr. Eduardo Pereira de Valparaíso, Chile. Resultados: Se realizó TEVAR en 31 pacientes, sexo masculino 74,2%, femenino 25,8%, edad promedio 67,8 años (rango 53-85), patologías asociadas: hipertensión arterial sistémica (77,4%), tabaquismo (67,7%) y dislipidemia (38,7%), las indicaciones para TEVAR fueron: el aneurisma de la aorta descendente (51,61%), la disección tipo B crónica complicada (29,03%), y la disección tipo B aguda complicada (19,35%), relacionado al procedimiento se evidenció: morbilidad cardiovascular (12,9%) y morbilidad neurológica (6,45%), complicaciones relacionadas a la endoprótesis (29,03%), incidencia de endofugas (19,35%), estancia hospitalaria promedio de 5,2 días (rango 3 a 17), seguimiento promedio de 47,3 meses (9-108), éxito técnico primario (100%), tasa de reintervención: 3,22%, tasa de supervivencia a 1, 3, 5 años del 96,77%, 93,54 y 90,32% respectivamente, no hubo mortalidad menor a 30 días. Discusión: La evidencia demuestra queTEVAR puede realizarse en forma segura y efectiva, cumpliendo estrictos criterios clínicos y condiciones anatómicas, representando la modalidad de elección para la reparación de las lesiones de la aorta descendente. Conclusión: Los resultados demuestran que TEVAR, representa una excelente estrategia terapeutica, menos invasiva, con baja morbilidad y mortalidad asociada.

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Síndrome aórtico agudo: Revisión de la literatura y actualización del tema

Cited by 4 publications

References 62 publications

Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

Endovascular Treatment of Repeated Multilevel Spontaneous Aortic Ruptures: A Case Report

Tratamiento quirúrgico de la úlcera penetrante de aorta ascendente. Casos clínicos

Reparacion endovascular de la aorta torácica, resultados a largo plazo

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