ACUTE DISSECTING ANEURYSM OF AORTA
Abstract
This disorder is usually associated with medialdegeneration of the aortic wall. This may be associated
with Marfan syndrome or other collagen connective
tissue disorders such as Ehlers Danlos disease.
Dissection is classified as acute if it has been present
less than 30 days or chronic if it has been present for
longer. The dissection is also classified according to
the site of intimal tear and to the degree of aorta
involved. Using the DeBakey classification, type I and
type II dissection begins just distal to the ostia of the
coronary arteries and involves the ascending aorta.
Type I dissection also extend into the thoracoabdominal aorta. Type III dissection begins just distal
to the left subclavian artery and usually involve only
the thoraco abdominal aorta, although on occasion
they may extend in a retrograde fashion to involve the
arch and ascending aorta.
Iatrogenic dissection, caused by trauma from intraaortic manipulation with endovascular devices, now
occurs more frequently than in the past.
References
Ogara PT, Desanctisrw. Acute aortic dissection and its
variance. Towards a common diagnosis and therapeutic
approach. Circulation. 1995,92:1376-1378.
Pumphrew CW Fay T. Aortic dissection during
pregnancy Br. Heart J., 1986: 55: 106.
Pogren HG, Transesophageal Echo-cardiography. N
Eng J Med 1995; 333: 1153.
Bansal RC, Chandrasekarak Ayalak, Frequency and
explanation of false negative diagnosis of aortic
dissection by aortography and transesophageal echo. J.
Am. Coll. Cordial. 1995; 25:139-1401.
Elicitors, Nanda NC et al. Color Doppler evaluation of
aortic dissection. Circulation 1989; 75:748.
Rosenzweig BB, Goldstein's, Sherridm Krozon I,
Aortic dissection with flap prolapse into left ventricle
Am J Cardiol 1996; 77: 214-216.
Evangelista A, Garciadelcastillo H, Conzalelzaluja,
Diagnosis of ascending aortic dissection by
Transesophageal echo utility of M mode - recognized
artifacts. J. Am. Coll. Cardiol. 1996; 27: 102-107.
Palmer RF and Lassetter RC Nitroprusside and aortic
dissecting aneurysm N. Eng. J. Med. 1976; 294: 1403.
Grubb BP Sirio C and Zelis R. Intravenous labealol in
acute dissection JAMA 1987; 258: 78.
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