Aortic Dissection (Diagnosis and Management of)

Topics: Diseases of the Aorta and Trauma to the Aorta and Heart

Authors

Table of contents: Full Text (ESC Clinical Practice Guidelines)

Aortic wall disease

• Inherited disease, Aortic disease in infancy and childhood, Ageing of the aorta, Aetiology of aortic aneurysm and dissection

Aortic dissection staging

• class 1 — classical aortic dissection,
• class 2 — intramural haemorrhage/haematoma,
• class 3 — subtle/discrete aortic dissection,
• class 4 — plaque rupture/ulceration,
• class 5 — traumatic/iatrogenic aortic dissection

Clinical management

• Clinical features, Initial diagnostic steps in the emergency room, Initial therapeutic decisions

Diagnostic requirements

• Evolving — acute aortic dissection, Additional information

Imaging modalities

• Transthoracic/transoesophageal echocardiography (TTE/TEE), Computed tomography, Magnetic resonance imaging, Aortography, Intravascular ultrasound

Surgical and interventional therapy

• Surgical therapy, Interventional therapy by percutaneous stenting and/or percutaneous fenestration, Indications for stent placement and fenestration, Interventional techniques, Results of interventional therapy, Complications of interventional therapy

Follow-up in aortic dissection

• Natural history of aortic dissection and prognosis, Follow-up in Marfan patients, Imaging for follow-up studies, Reoperation