Management of acute aortic dissection

A new appraisal of the management of acute aortic dissection is timely because of recent developments in diagnostic strategies (including biomarkers and imaging), endograft design, and surgical treatment, which have led to a better understanding of the epidemiology, risk factors, and molecular nature of aortic dissection. Although open surgery is the main treatment for proximal aortic repair, use of endovascular management is now established for complicated distal dissection and distal arch repair, and has recently been discussed as a pre-emptive measure to avoid late complications by inducing aortic remodelling.

[1]  M. Klompas.  Does this patient have an acute thoracic aortic dissection? , 2002, JAMA.

[2]  Santi Trimarchi,et al.  Number of entry tears is associated with aortic growth in type B dissections. , 2013, The Annals of thoracic surgery.

[3]  C. Nienaber,et al.  Renal sympathetic denervation in patients with aortic dissection. , 2014, Journal of interventional cardiology.

[4]  W. Edwards,et al.  Risk factors for aortic dissection: a necropsy study of 161 cases. , 1984, The American journal of cardiology.

[5]  R. Fairman,et al.  Vascular distribution of stroke and its relationship to perioperative mortality and neurologic outcome after thoracic endovascular aortic repair. , 2012, Journal of vascular surgery.

[6]  R. Greenberg,et al.  Computed tomography-based anatomic characterization of proximal aortic dissection with consideration for endovascular candidacy. , 2011, Journal of vascular surgery.

[7]  J. Bismuth,et al.  Computational study of haemodynamic effects of entry- and exit-tear coverage in a DeBakey type III aortic dissection: technical report. , 2011, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[8]  C. Miller,et al.  Preoperative and operative predictors of delayed neurologic deficit following repair of thoracoabdominal aortic aneurysm , 2003 .

[9]  K A Eagle,et al.  Diagnostic imaging in the evaluation of suspected aortic dissection. Old standards and new directions. , 1993, The New England journal of medicine.

[10]  M. Dake,et al.  True-lumen collapse in aortic dissection: part I. Evaluation of causative factors in phantoms with pulsatile flow. , 2000, Radiology.

[11]  M. Midulla,et al.  Endovascular approaches to acute aortic type A dissection: a CT-based feasibility study. , 2011, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[12]  R. Hinchliffe,et al.  Systematic review of outcomes of combined proximal stent grafting with distal bare stenting for management of aortic dissection. , 2013, The Journal of thoracic and cardiovascular surgery.

[13]  C. Nienaber,et al.  Indication, timing and results of endovascular treatment of type B dissection. , 2009, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[14]  K. Eagle,et al.  Correlates of Delayed Recognition and Treatment of Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection (IRAD) , 2011, Circulation.

[15]  K. Eagle,et al.  Diagnosis of Acute Aortic Dissection by D-Dimer: The International Registry of Acute Aortic Dissection Substudy on Biomarkers (IRAD-Bio) Experience , 2009, Circulation.

[16]  K. Eagle,et al.  Acute aortic dissection , 2008, The Lancet.

[17]  D. Adams,et al.  National outcomes in acute aortic dissection: influence of surgeon and institutional volume on operative mortality. , 2013, The Annals of thoracic surgery.

[18]  Dinghua Yi,et al.  RETRACTED ARTICLE: Combined Interventional and Surgical Treatment for Acute Aortic Type A Dissection , 2008, CardioVascular and Interventional Radiology.

[19]  David M. Williams,et al.  Sensitivity of the Aortic Dissection Detection Risk Score, a Novel Guideline-Based Tool for Identification of Acute Aortic Dissection at Initial Presentation: Results From the International Registry of Acute Aortic Dissection , 2011, Circulation.

[20]  S. Acosta,et al.  Increasing incidence of ruptured abdominal aortic aneurysm: a population-based study. , 2006, Journal of vascular surgery.

[21]  C. Miller,et al.  Evolution of risk for neurologic deficit after descending and thoracoabdominal aortic repair. , 2005, The Annals of thoracic surgery.

[22]  Jian‐Jun Li,et al.  Biomarkers in aortic dissection. , 2011, Clinica chimica acta; international journal of clinical chemistry.

[23]  J. Xiong,et al.  The results of stent graft versus medication therapy for chronic type B dissection. , 2013, Journal of vascular surgery.

[24]  J. Piccini,et al.  Retrograde ascending aortic dissection as an early complication of thoracic endovascular aortic repair. , 2011, Journal of vascular surgery.

[25]  M. Jahangiri,et al.  Endovascular management of chronic aortic dissection in patients with Marfan syndrome. , 2009, Journal of vascular surgery.

[26]  T. Murohara,et al.  Uptake of 18F-FDG in Acute Aortic Dissection: A Determinant of Unfavorable Outcome , 2010, Journal of Nuclear Medicine.

[27]  J. Elefteriades,et al.  Medical management of acute type A aortic dissection. , 2009, Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia.

[28]  A. Karthikesalingam,et al.  The diagnosis and management of aortic dissection , 2011, BMJ : British Medical Journal.

[29]  A. Husain,et al.  S100A12 expression in thoracic aortic aneurysm is associated with increased risk of dissection and perioperative complications. , 2012, Journal of the American College of Cardiology.

[30]  G. Teng,et al.  Risk factors of incomplete thrombosis in the false lumen after endovascular treatment of extensive acute type B aortic dissection. , 2012, Journal of vascular surgery.

[31]  T. Carrell,et al.  Endovascular treatment of acute aortic syndrome. , 2011, Journal of vascular surgery.

[32]  M. Thompson,et al.  Systematic review of outcomes of combined proximal stent-grafting with distal bare stenting for management of aortic dissection. , 2014, Annals of cardiothoracic surgery.

[33]  K. Eagle,et al.  Aortic expansion after acute type B aortic dissection. , 2012, The Annals of thoracic surgery.

[34]  M. Jahangiri,et al.  Progress in endovascular management of type A dissection. , 2012, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[35]  L. Melton,et al.  Acute aortic dissection: population-based incidence compared with degenerative aortic aneurysm rupture. , 2004, Mayo Clinic proceedings.

[36]  J. Bavaria,et al.  The complications of uncomplicated acute type-B dissection: the introduction of the Penn classification. , 2012, Journal of cardiothoracic and vascular anesthesia.

[37]  A Evangelista,et al.  The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. , 2000, JAMA.

[38]  I. Mészáros,et al.  Epidemiology and clinicopathology of aortic dissection. , 2000, Chest.

[39]  Y. Yazaki,et al.  Novel biochemical diagnostic method for aortic dissection. Results of a prospective study using an immunoassay of smooth muscle myosin heavy chain. , 1996, Circulation.

[40]  T. Brady,et al.  Usefulness of comprehensive cardiothoracic computed tomography in the evaluation of acute undifferentiated chest discomfort in the emergency department (CAPTURE). , 2011, The American journal of cardiology.

[41]  J. Golledge,et al.  Outcome of endovascular treatment of acute type B aortic dissection. , 2008, The Annals of thoracic surgery.

[42]  M. Lachat,et al.  Distinction between acute and chronic type B aortic dissection: is there a sub-acute phase? , 2013, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[43]  D. Milewicz,et al.  Diabetes and Reduced Risk for Thoracic Aortic Aneurysms and Dissections: A Nationwide Case-Control Study , 2012, Journal of the American Heart Association.

[44]  N. Cheshire,et al.  Initial findings and potential applicability of computational simulation of the aorta in acute type B dissection. , 2013, Journal of vascular surgery.

[45]  N. Masani,et al.  Echocardiography in the emergency assessment of acute aortic syndromes. , 2009, European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology.

[46]  Olivier Chavanon,et al.  European Society of Hypertension scientific newsletter: hypertension and aortic diseases , 2012, Journal of hypertension.

[47]  K. Eagle,et al.  Circulating transforming growth factor-beta levels in acute aortic dissection. , 2011, Journal of the American College of Cardiology.

[48]  Rossella Fattori,et al.  Long-Term Survival in Patients Presenting With Type B Acute Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection , 2006, Circulation.

[49]  Amitava Banerjee,et al.  Population-Based Study of Incidence and Outcome of Acute Aortic Dissection and Premorbid Risk Factor Control: 10-Year Results From the Oxford Vascular Study , 2013, Circulation.

[50]  T. Carrel,et al.  Large Area of the False Lumen Favors Secondary Dilatation of the Aorta After Acute Type A Aortic Dissection , 2005, Circulation.

[51]  P. Ravaud,et al.  Comparison of Clinical Presentations and Outcomes Between Patients With TGFBR2 and FBN1 Mutations in Marfan Syndrome and Related Disorders , 2009, Circulation.

[52]  David M. Williams,et al.  Early open and endovascular thoracic aortic repair for complicated type B aortic dissection. , 2013, The Annals of thoracic surgery.

[53]  Z. Jing,et al.  Endovascular repair of ascending aortic dissection: a novel treatment option for patients judged unfit for direct surgical repair. , 2013, Journal of the American College of Cardiology.

[54]  K. Eagle,et al.  Chronobiology of rupture and dissection of aortic aneurysms. , 2004, Journal of vascular surgery.

[55]  K. Eagle,et al.  Descending aortic diameter of 5.5 cm or greater is not an accurate predictor of acute type B aortic dissection. , 2011, The Journal of thoracic and cardiovascular surgery.

[56]  Benjamin S. Brooke,et al.  Angiotensin II blockade and aortic-root dilation in Marfan's syndrome. , 2008, The New England journal of medicine.

[57]  H. Rousseau,et al.  Randomized Comparison of Strategies for Type B Aortic Dissection: The INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) Trial , 2009, Circulation.

[58]  D. Spielvogel,et al.  Acute type B aortic dissection: surgical therapy. , 2002, The Annals of thoracic surgery.

[59]  K. Eagle,et al.  Survival after endovascular therapy in patients with type B aortic dissection: a report from the International Registry of Acute Aortic Dissection (IRAD). , 2013, JACC. Cardiovascular interventions.

[60]  F. Granath,et al.  Family history, comorbidity and risk of thoracic aortic disease: a population-based case-control study , 2013, Heart.

[61]  K. Eagle,et al.  Complicated acute type B dissection: is surgery still the best option?: a report from the International Registry of Acute Aortic Dissection. , 2008, JACC. Cardiovascular interventions.

[62]  Y. Okada,et al.  Neutrophil-Derived Matrix Metalloproteinase 9 Triggers Acute Aortic Dissection , 2012, Circulation.

[63]  B Kastler,et al.  False lumen patency as a predictor of late outcome in aortic dissection. , 2001, The American journal of cardiology.

[64]  M. Dake,et al.  Surgical Management of Descending Thoracic Aortic Disease: Open and Endovascular Approaches: A Scientific Statement From the American Heart Association , 2010, Circulation.

[65]  T. Schaeffter,et al.  A new imaging method for assessment of aortic dissection using four-dimensional phase contrast magnetic resonance imaging. , 2012, Journal of vascular surgery.

[66]  H. Morita,et al.  Young adult patients with short dissection length and thrombosed false lumen without ulcer-like projections are liable to have false-negative results of D-dimer testing for acute aortic dissection based on a study of 113 cases. , 2006, Circulation journal : official journal of the Japanese Circulation Society.

[67]  Rossella Fattori,et al.  Gender-Related Differences in Acute Aortic Dissection , 2004, Circulation.

[68]  K. Eagle,et al.  Importance of Refractory Pain and Hypertension in Acute Type B Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection (IRAD) , 2010, Circulation.

[69]  Santi Trimarchi,et al.  Clinical Profiles and Outcomes of Acute Type B Aortic Dissection in the Current Era: Lessons From the International Registry of Aortic Dissection (IRAD) , 2003, Circulation.

[70]  L. Cregler.  Aortic dissection and cocaine use. , 1992, American heart journal.

[71]  R. S. Mitchell,et al.  Does Profound Hypothermic Circulatory Arrest Improve Survival in Patients With Acute Type A Aortic Dissection? , 2002, Circulation.

[72]  K. Eagle,et al.  Type-selective benefits of medications in treatment of acute aortic dissection (from the International Registry of Acute Aortic Dissection [IRAD]). , 2012, The American journal of cardiology.

[73]  Long-term predictors of descending aorta aneurysmal change in patients with aortic dissection. , 2007 .

[74]  H. Rousseau,et al.  Stent grafting of dissected descending aorta in patients with Marfan's syndrome: mid-term results. , 2008, JACC. Cardiovascular interventions.

[75]  H. Rousseau,et al.  Endovascular Repair of Type B Aortic Dissection: Long-term Results of the Randomized Investigation of Stent Grafts in Aortic Dissection Trial , 2013, Circulation. Cardiovascular interventions.

[76]  K. Eagle,et al.  Differences in Clinical Presentation, Management, and Outcomes of Acute Type A Aortic Dissection in Patients With and Without Previous Cardiac Surgery , 2004, Circulation.

[77]  K. Eagle,et al.  Characteristics and in-hospital outcomes of patients with cardiac tamponade complicating type A acute aortic dissection. , 2009, The American journal of cardiology.

[78]  M. Watkins,et al.  The INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) trial: the need for ongoing analysis. , 2009, Circulation.

[79]  M. Rieder,et al.  Exome Sequencing Identifies SMAD3 Mutations as a Cause of Familial Thoracic Aortic Aneurysm and Dissection With Intracranial and Other Arterial Aneurysms , 2011, Circulation research.

[80]  C Oakley,et al.  Rupture of the aorta following road traffic accidents in the United Kingdom 1992-1999. The results of the co-operative crash injury study. , 2003, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[81]  W. Roberts,et al.  Aortic Dissection with the Entrance Tear in the Descending Thoracic Aorta Analysis of 40 Necropsy Patients , 1991, Annals of surgery.

[82]  R. S. Mitchell,et al.  Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. , 2008, The Annals of thoracic surgery.

[83]  C. Nienaber.  Influence and critique of the INSTEAD Trial (TEVAR versus medical treatment for uncomplicated type B aortic dissection). , 2011, Seminars in vascular surgery.

[84]  Janet T Powell,et al.  Management of acute aortic syndromes. , 2012, European heart journal.

[85]  Christian Olsson,et al.  Thoracic Aortic Aneurysm and Dissection: Increasing Prevalence and Improved Outcomes Reported in a Nationwide Population-Based Study of More Than 14 000 Cases From 1987 to 2002 , 2006 .

[86]  M. Uetani,et al.  Comparison of outcome in aortic dissection with single false lumen versus multiple false lumens: CT assessment. , 2013, Radiology.

[87]  R. Bonser,et al.  Biomarkers in acute aortic dissection and other aortic syndromes. , 2010, Journal of the American College of Cardiology.

[88]  R. Fairman,et al.  Aortic Pathology Determines Midterm Outcome After Endovascular Repair of the Thoracic Aorta: Report From the Medtronic Thoracic Endovascular Registry (MOTHER) Database , 2013, Circulation.

[89]  G. Ruvolo,et al.  Long-term results after repair of type a acute aortic dissection according to false lumen patency. , 2009, The Annals of thoracic surgery.

[90]  R. Razavi,et al.  A new method for quantification of false lumen thrombosis in aortic dissection using magnetic resonance imaging and a blood pool contrast agent. , 2011, Journal of vascular surgery.

[91]  K. Sadamatsu,et al.  Fibrinogen/fibrin degradation products in acute aortic dissection. , 2010, Internal medicine.

[92]  C. Nienaber,et al.  Therapeutic management of patients with Marfan syndrome: focus on cardiovascular involvement. , 1999, Cardiology in review.

[93]  Ignacio Ferreira-González,et al.  Long-Term Outcome of Aortic Dissection With Patent False Lumen: Predictive Role of Entry Tear Size and Location , 2012, Circulation.

[94]  A. Takahashi,et al.  Preliminary study of serum tenascin-C levels as a diagnostic or prognostic biomarker of type B acute aortic dissection. , 2013, International journal of cardiology.

[95]  J. Powell,et al.  Endovascular versus conventional medical treatment for uncomplicated chronic type B aortic dissection. , 2012, The Cochrane database of systematic reviews.

[96]  C. Nienaber.  Diabetes Mellitus and Thoracic Aortic Disease: Are People With Diabetes Mellitus Protected From Acute Aortic Dissection? , 2012, Journal of the American Heart Association.

[97]  C. Nienaber,et al.  INvestigation of STEnt grafts in patients with type B Aortic Dissection: design of the INSTEAD trial--a prospective, multicenter, European randomized trial. , 2005, American heart journal.

[98]  T. Shiga,et al.  Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis. , 2006, Archives of internal medicine.

[99]  Khalil Khanafer,et al.  Tear size and location impacts false lumen pressure in an ex vivo model of chronic type B aortic dissection. , 2008, Journal of vascular surgery.

[100]  C. Nienaber,et al.  Thoracic endovascular aneurysm repair for complicated type B aortic dissection. , 2011, Journal of vascular surgery.

[101]  K. Eagle,et al.  Ascending thoracic aorta dimension and outcomes in acute type B dissection (from the International Registry of Acute Aortic Dissection [IRAD]). , 2011, The American journal of cardiology.

[102]  K. Eagle,et al.  Acute Aortic Syndromes and Thoracic Aortic Aneurysm , 2009 .

[103]  F. Ohsuzu,et al.  Soluble Elastin Fragments in Serum Are Elevated in Acute Aortic Dissection , 2003, Arteriosclerosis, thrombosis, and vascular biology.

[104]  H. González-Pacheco,et al.  Endovascular treatment of type B dissection in patients with marfan syndrome: Mid‐term outcomes and aortic remodeling , 2013, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[105]  M. Dake,et al.  DISSECT: a new mnemonic-based approach to the categorization of aortic dissection. , 2013, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[106]  K. Eagle,et al.  Acute Aortic Syndromes , 2005, Circulation.

[107]  H. Yoon,et al.  Role of a quantitative D-dimer assay in determining the need for CT angiography of acute pulmonary embolism. , 2004, AJR. American journal of roentgenology.

[108]  C. Nienaber,et al.  Prospective multicenter clinical trial (STABLE) on the endovascular treatment of complicated type B aortic dissection using a composite device design. , 2012, Journal of vascular surgery.

[109]  H. Dietz,et al.  Circulating Transforming Growth Factor-&bgr; in Marfan Syndrome , 2009, Circulation.

[110]  R. Senior,et al.  The role of urgent transthoracic echocardiography in the evaluation of patients presenting with acute chest pain , 2012, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[111]  C. Claussen,et al.  Estimation of radiation exposure of retrospective gated and prospective triggered 128-slice triple-rule-out CT angiography , 2011, Acta radiologica.

[112]  A new classification system for aortic dissection. , 2013, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[113]  C. Gaul,et al.  Neurological Symptoms in Type A Aortic Dissections , 2007, Stroke.

[114]  K. Eagle,et al.  The IRAD classification system for characterizing survival after aortic dissection. , 2013, The American journal of medicine.

[115]  Rodney A. White,et al.  Report on the results of thoracic endovascular aortic repair for acute, complicated, type B aortic dissection at 30 days and 1 year from a multidisciplinary subcommittee of the Society for Vascular Surgery Outcomes Committee. , 2011, Journal of vascular surgery.

[116]  K. Eagle,et al.  Role and Results of Surgery in Acute Type B Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection (IRAD) , 2006, Circulation.

[117]  K. Eagle,et al.  Chronobiological Patterns of Acute Aortic Dissection , 2002, Circulation.