Management of Acute Aortic Syndromes

  • Carol H. ChoeEmail author
  • Rohan R. Arya


Chest pain is a ubiquitous complaint that requires prompt evaluation. Aortic dissection is a potentially fatal cause of chest pain that must be identified expeditiously and treated immediately. While dissections that arise proximal to the left subclavian artery often require surgical intervention, those that are distal to this point may be managed medically. In this text we will discuss the various ways to evaluate and treat acute aortic syndromes.


Aortic dissection Type A dissection Type B dissection Penetrating aortic ulcer (PAU) Intramural hematoma (IMH) Chest pain CTA chest Transthoracic echocardiogram (TTE) Transesophageal echocardiogram (TEE) Medical management Surgical intervention 

Supplementary material

Video 18.1

2D transthoracic echocardiogram demonstrating a dissection involving the aortic root (MP4 380 kb)

Video 18.2

Color flow Doppler transthoracic echocardiogram demonstrating a dissection involving the aortic root (MP4 665 kb)


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Critical Care MedicineLexington Medical CenterWest ColumbiaUSA
  2. 2.Medicine, Division of Pulmonary and Critical Care MedicineUniversity of South Carolina School of MedicineColumbiaUSA

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