Management of Acute Aortic Syndrome

Rajesh Malik, Michael Siah, Edward Y. Woo

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Acute aortic syndrome (AAS) consists of a constellation of potentially life-threatening pathologies that include aortic dissection (AD), intramural hematoma (IMH), and penetrating aortic ulcer (PAU). Moderate to severe hypertension is a universal risk factor for AAS. Diagnosis of AAS requires a high index of suspicion when individuals present with acute onset retrosternal pain radiating to the back. Echocardiography provides a rapid means of assessment in the diagnosis of aortic dissection. Transthoracic echocardiography (TTE) can also provide information about structures affected by AAS. Intravenous antihypertensives are key for all patients presenting with AAS, particularly in those with aortic dissection to reduce flap mobility and propagation, which is associated with increased morbidity and mortality. The general concepts of the management of AAS include intensive monitoring and blood pressure normalization to prevent involvement of the ascending aorta or visceral vessels, as well as aortic rupture.

Original languageEnglish (US)
Title of host publicationEndovascular Interventions
Publisherwiley
Pages111-120
Number of pages10
ISBN (Electronic)9781119283539
ISBN (Print)9781119283492
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Keywords

  • acute aortic syndrome
  • aortic dissection
  • aortic rupture
  • diagnosis
  • intramural hematoma
  • intravenous antihypertensives
  • penetrating aortic ulcer
  • risk factor
  • transthoracic echocardiography

ASJC Scopus subject areas

  • Medicine(all)

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