Related Experiment Video
Updated: Dec 19, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
738
Acute Aortic Syndromes: Diagnostic and Therapeutic Pathways
Eduardo Bossone1, Brigida Ranieri2, Luigia Romano3
1Cardiology Division, Antonio Cardarelli Hospital, Via A. Cardarelli 9, Naples I-80131, Italy.
Heart Failure Clinics
|June 7, 2020
Summary
Acute aortic syndromes, including acute aortic dissection (AAD), are serious conditions requiring prompt diagnosis and management. Treatment varies by type, with surgery for Type A and medical or endovascular approaches for Type B AAD.
Area of Science:
- Cardiology
- Vascular Surgery
- Emergency Medicine
Background:
- Acute aortic syndromes (AAS) encompass life-threatening conditions like acute aortic dissection (AAD).
- These conditions necessitate precise and timely diagnostic and therapeutic strategies.
- The European Society of Cardiology provides a diagnostic algorithm for AAS.
Purpose of the Study:
- To outline the diagnostic and management strategies for acute aortic syndromes.
- To differentiate treatment pathways based on AAD classification (Type A vs. Type B).
- To emphasize the chronic nature of AAD, requiring lifelong management.
Main Methods:
- Review of European Society of Cardiology guidelines for AAS diagnosis.
- Description of a multiparametric diagnostic algorithm.
- Outline of medical and surgical treatment modalities for AAD.
Main Results:
- Aggressive medical therapy (blood pressure and heart rate control) is crucial for all AAD patients.
- Urgent surgical repair is indicated for Type A AAD.
- Uncomplicated Type B AAD is managed medically, while complicated Type B AAD benefits from thoracic endovascular repair.
Conclusions:
- AAD is a lifelong condition affecting the entire aorta.
- Management strategies are tailored to AAD type and complexity.
- Multidisciplinary approaches are essential for optimal AAS patient outcomes.
Related Concept Videos
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
128
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
128
01:25Aortic Regurgitation III: Medical Management
260
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
260
01:15Aortic Regurgitation I: Introduction
312
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
312
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
274
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
274
01:26Aneurysm III: Interprofessional Care
171
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
171
01:27Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
355
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
355