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Diseases of the Aorta

  • Michael Y. HeneinEmail author
  • Mary Sheppard
  • John R. Pepper
Chapter

Abstract

Acute aortic dissection is a surgical emergency that requires accurate diagnosis and prompt management. A number of classifications exist, the simplest of which classifies aortic dissection according to the location of the entry point into: type “A” which involves all forms that include the ascending aorta and type “B” which does not involve the ascending aorta. While type “A” is always an emergency diagnosis and management, type “B” can be managed medically or conservatively. Mortality from type “A” dissection may be up to 60% within the first 24 h, 80% over the first 2 weeks and 90% within 3 months of acute attack. Dissection of the proximal ascending aorta can often be seen on transthoracic echo imaging, and even those involving the distal ascending aorta may occasionally be detected.

Keywords

Aortic Valve Aortic Aneurysm Infective Endocarditis Aortic Dissection Aortic Root 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 13.1

An example from a patient with aortic dissection (short axis) showing a dissection fl ap moving freely in the lumen and changing its shape during the cardiac cycle

Dissection2_m.m1v (745 KB)

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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Michael Y. Henein
    • 1
    Email author
  • Mary Sheppard
    • 2
  • John R. Pepper
    • 2
  1. 1.Department of Public Health and Clinical Medical and Heart CenterUmea UniversityUmeaSweden
  2. 2.Royal Brompton HospitalLondonUK

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