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Acute aortic syndromes 

Acute aortic syndromes
Chapter:
Acute aortic syndromes
Author(s):

Andrew R.J. Mitchell

, James D. Newton

, and Adrian P. Banning

DOI:
10.1093/med/9780199204854.003.161401_update_001

Update:

Intramural haematoma and penetrating atherosclerotic ulcers are included in the classification of acute aortic syndromes. Intramural haematoma is characterized by the absence of a dissection flap and is often a prelude to aortic dissection and is usually managed surgically when affecting the ascending aorta. Penetrating atherosclerotic ulceration can be effectively managed by endovascular stenting.

Updated on 29 Oct 2015. The previous version of this content can be found here.
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date: 22 October 2017

The acute aortic syndromes are acute dissection, intramural haematoma, and penetrating ulcer, and all involve disruption of the wall of the aorta with potentially devastating consequences. Although relatively uncommon, left unrecognized and untreated they can carry a mortality rate of up to 2% per hour and 50% within the first few weeks....

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