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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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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...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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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...
12
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

23
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...
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Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

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Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
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Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

20
The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
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Updated: Jul 17, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Published on: March 28, 2025

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[Acute aortic syndrome].

Isidre Vilacosta1, Carlos Ferrera1, Alberto San Román2

  • 1Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, España.

Medicina Clinica
|August 28, 2023
PubMed
Summary
This summary is machine-generated.

Acute aortic syndrome involves diverse aortic wall conditions presenting similarly. This review covers current epidemiology, clinical aspects, diagnosis, and treatment, stressing multidisciplinary teams and aortic codes.

Keywords:
Acute aortic syndromeAortic codeAortic dissectionCódigo aortaDisección aórticaHematoma intramural aórticoIntramural aortic hematomaPenetrating aortic ulcerSíndrome aórtico agudoÚlcera penetrante aórtica

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Area of Science:

  • Cardiovascular Medicine
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Acute aortic syndrome (AAS) encompasses heterogeneous pathological conditions affecting the aorta.
  • These conditions share a common clinical presentation, necessitating a unified approach.

Purpose of the Study:

  • To review the current epidemiology, clinical presentation, diagnosis, and treatment strategies for AAS.
  • To emphasize the significance of multidisciplinary aortic teams, specialized aortic centers, and the implementation of an "aortic code" for improved patient outcomes.

Main Methods:

  • Comprehensive literature review of recent studies on acute aortic syndrome.
  • Analysis of epidemiological data, clinical manifestations, diagnostic modalities, and therapeutic interventions.
  • Synthesis of expert recommendations regarding healthcare organization and emergency protocols.

Main Results:

  • AAS comprises entities like aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcers.
  • Early diagnosis and prompt, tailored treatment are critical for survival and reducing complications.
  • Multidisciplinary collaboration and standardized emergency protocols (aortic code) improve management.

Conclusions:

  • Effective management of AAS requires a coordinated, multidisciplinary approach.
  • Specialized aortic centers and established "aortic code" protocols are essential for optimizing patient care and outcomes.
  • Continued research is needed to further refine diagnostic and therapeutic strategies for AAS.