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Aortic Dissection (Diagnosis and Management of)

ESC Clinical Practice Guidelines

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

22/03/2001 00:00:00

Current versions available to download

Publication dateVersionsReferencesSize
2001Full TextEuropean Heart Journal (2001) 22, 1642–1681; doi:10.1053/euhj.2001.2782


R. Erbel FESC (Chairperson), F. Alfonso Manterola FESC, C. Boileau, O. Dirsch, B. Eber FESC, A. Haverich, H. Rakowski, J. Struyven, K. Radegran, U. Sechtem FESC, J. Taylor EFESC, Ch. Zollikofer

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

Previous versions

A complete list of ESC Clinical Practice Guidelines (current and previous versions) endorsed by ESC National Society Members is available here