Herzkrankheiten pp 1648-1656 | Cite as

Aortendissektion

  • P. Bubenheimer
  • M. Schmuziger
Chapter

Zusammenfassung

Obwohl das Krankheitsbild der spontanen Aortendissektion und auch dessen schlechte Prognose aufgrund pathologisch-anatomischer Beobachtungen Scit über 200 Jahren bekannt ist, wurde es bis in jüngster Zeit klinisch sehr viel seltener diagnostiziert, als es von der Häufigkeit der Erkrankung zu erwarten wäre (Hirst et al. 1958; Anagnostopoulos 1975). Dies liegt in der Vielfalt und der Vieldeutigkeit der Symptomatik begründet. Von Anagnostopoulos (1975) wird geschätzt, daß sich auf 10–20 Myokardinfarkte 1 Aortendissektion ereignet.

This is a preview of subscription content, log in to check access.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Ablaza SGG, Ghosh SC, Grana VP (1978) Use of a ringed intraluminal graft in the surgical treatment of dissecting aneurysms of the thoracic aorta. A new technique. J thorac cardiovasc Surg 76:390PubMedGoogle Scholar
  2. Anagnostopoulos CE (1975) Acute aortic dissections. University Park, Baltimore London TokyoGoogle Scholar
  3. Anagnostopoulos CE, Prabhakar MJS, Kittle CE (1972) Aortic dissections and dissecting aneurysms. Am J Cardiol 30:263PubMedCrossRefGoogle Scholar
  4. Appelbaum A, Karp RB, Kirklin JW (1976) Ascending vs descending aortic dissections. Ann Surg 183:296PubMedCrossRefGoogle Scholar
  5. Ballal RS, Nanda NC, Gatewood R et al (1991) Usefulness of transoesophageal echocardiography and assessment of aortic dissection. Circulation 84:1903PubMedGoogle Scholar
  6. Bentall H, De Bono A (1968) A technique for complete replacement of the ascending aorta. Thorax 23:338PubMedCrossRefGoogle Scholar
  7. Björk VO, Björk L (1966) Surgical treatment of aneurysmal changes in the ascending aorta. Thorax 21:240PubMedCrossRefGoogle Scholar
  8. Björk VO, Bergdahl L, Henze A (1979) Surgical treatment of aneurysms of the ascending aorta. Early experience with the sinus-shaped composite dacron graft. J thorac cardiovasc Surg 27:24CrossRefGoogle Scholar
  9. Börner N, Erbel B, Braun B et al (1984) Diagnosis of aortic dissection by transoesophageal echocardiography. Am J Cardiol 54:1157PubMedCrossRefGoogle Scholar
  10. Brown OR, Popp RL, Kloster FE (1975) Echocardiographic criteria for aortic root dissection. Am J Cardiol 36:17PubMedCrossRefGoogle Scholar
  11. Cook JP, Safford RE (1986) Progress in the diagnosis and management of aortic dissection. Mayo Clin Proc 61:147Google Scholar
  12. Cooley DA, De Bakey ME (1956) Resection of entire ascending aorta in fusiform aneurysm using cardiac bypass. J Am med Ass 162:1158CrossRefGoogle Scholar
  13. Cooley DA, Bloodwell RD, Beall AC et al (1966) Surgical management of aneurysms of the ascending aorta, including those with aortic valvular incompetence. Surg Clin North Am 46:1033PubMedGoogle Scholar
  14. Daily PO, Trueblood HW, Stinson EB et al (1970) Management of acute aortic dissections. Ann thorac Surg 10:237PubMedCrossRefGoogle Scholar
  15. Dalen JE, Alpert JS, Cohn LH et al. (1974) Dissection of the thoracic aorta. Medical or surgical therapy ? Am J Cardiol 34:803PubMedCrossRefGoogle Scholar
  16. De Bakey ME, Cooley DA, Creech Jr O (1955) Surgical considerations of dissecting aneurysm of the aorta. Ann Surg 142:586CrossRefGoogle Scholar
  17. De Bakey ME, Henly WS, Cooley DA et al (1965) Surgical management of dissecting aneurysms of the aorta. J thorac cardiovasc Surg 49:130Google Scholar
  18. Dinsmore RE, Rourke JA, De Sanctis RD et al (1966) Angiographic findings in dissecting aneurysm. New Engl J Med 275:1152PubMedCrossRefGoogle Scholar
  19. Dureau G, Villard J, George M et al (1978) New surgical technique for the operative management of acute dissections of the ascending aorta. Report of two cases. J thorac cardiovasc Surg 76:385PubMedGoogle Scholar
  20. Earnest F, Muhm JR, Sheedy PF II (1979) Roentgenographic findings in thoracic aortic dissection Mayo Clin Proc 54:43PubMedGoogle Scholar
  21. Erbel R, Mohr-Kahaly S, Oelert H et al (1990) Diagnostic strategies in suspected aortic dissection: Comparison on computed tomography, aortography and transoesophageal echocardiography. Am J Cardiac Imaging 4:157Google Scholar
  22. Erbel R, Daniel W, Visser C et al and the European Collaborative Study Group for Echocardiography (1989) Echocardiography in the diagnosis on aortic dissection. Lancet 1:457PubMedCrossRefGoogle Scholar
  23. Erdheim J (1930) Medionecrosis aortae idiopathica cystica. Virchows Arch path Anat 276:187CrossRefGoogle Scholar
  24. Golden A, Weens HJ (1949) Diagnosis of dissecting aneurysm of aorta by angiocardiography. Am Heart J 37:114PubMedCrossRefGoogle Scholar
  25. Goldman AP, Kotier MN, Scanlon MH et al (1986) The complimantary role of magnetic resonance imaging. Doppler echocardiography, and computed tomography in the diagnosis of dissecting thoracic aneurysms. Am Heart J 111:970PubMedCrossRefGoogle Scholar
  26. Gore I, Sciwert VJ (1952) Dissecting aneurysm of the aorta. Pathologic aspects. Analysis of eighty-five fatal cases. Arch Pathol 53:121Google Scholar
  27. Groves LK, Effler DB, Hawk WA et al (1964) Aortic insufficiency secondary to aneurysmal changes in the ascending aorta: Surgical managemet. J thorac cardiovasc Surg 48:362PubMedGoogle Scholar
  28. Gsell O (1928) Wandnekrosen der Aorta als selbständige Erkrankung und ihre Beziehung zur Spontanruptur. Virchows Arch path Anat 270:1CrossRefGoogle Scholar
  29. Guilment D, Bachet J, Goudot B et al (1979) Use of biological glue in acute aortic dissection. Preliminary clinical results with a new surgical technique. J thorac cardiovasc Surg 77:516Google Scholar
  30. Gurin D, Bulmer JW, Derby R (1935) Dissecting aneurysm of the aorta: Diagnosis and operative relief of acute arterial obstruction due to this cause. N Y St J Med 35:1200Google Scholar
  31. Hirst AE, Gore L (1976) Is cystic medionecrosis the cause of dissecting aortic aneurysm? (Editorial) Circulation 53:915PubMedGoogle Scholar
  32. Hirst Jr AE, Johns Jr VJ, Kime Jr SW (1958) Dissecting aneurysm of the aorta: A review of 505 cases. Medicine 37:217PubMedCrossRefGoogle Scholar
  33. Hurley JV (1959) Dissecting aneurysm of aorta: Histological appearances and hypothesis of pathogenesis. Aust Ann Med 8:297PubMedGoogle Scholar
  34. Kasper W, Hofmann T, Meinertz T et al (1986) Diagnostik thorakaler Aortenaneurysmen und Dissektion mit Hilfe der transoesophagealen Echokardiographie. Z Kardiol 75:609PubMedGoogle Scholar
  35. Kouchoukos NT, Karp RB, Lell WA (1977) Replacement of the ascending aorta and aortic valve with a composite graft: Results in 25 patients. Ann thorac Surg 24:140PubMedCrossRefGoogle Scholar
  36. Kotler MN (1989) Is transesophageal echocardiography the new standard for diagnosing dissecting aortic aneurysms. J Am Coll Cardiol 14:1263PubMedCrossRefGoogle Scholar
  37. Krueger SK, Starke H, Forker AD, Eliot RS (1975) Echocardiography mimics of aortic root dissection. Chest 67:441PubMedCrossRefGoogle Scholar
  38. Krueger SK, Wilson CS, Weaver WF et al (1976) Aortic root dissection: Echocardiographic demonstration of torn intimai flap. J clin Ultrasound 4:35PubMedCrossRefGoogle Scholar
  39. Levinson DC, Edmeades DT, Griffith GC (1950) Dissecting aneurysm of the aorta: Its clinical, electrocardiographic and laboratory features. Report of fifty-eight autopsied cases. Circulation 1:360PubMedGoogle Scholar
  40. Lodwick GS (1953) Dissecting aneurysms of the thoracic and abdominal aorta: Report of six cases with discussion of roentgenologic findings and pathologic changes. Am J Roentgenol 69:907Google Scholar
  41. Miller DC, Stinson EB, Oyer PE et al. (1979) Operative treatment of aortic dissections. Experience with 125 patients over a sexteen-year period. J thorac cardiovasc Surgery 78:365Google Scholar
  42. Miller DC, Mitchell RS, Oyer PE et al (1984) Independent determinants of operative mortality for patients with aortic dissections. Circulation 70 (Suppl I):153Google Scholar
  43. Millward DK, Robinson NJ, Craige E (1972) Dissecting aortic aneurysm diagnosed by echocardiography in a patient with rupture of the aneurysm into the right atrium. Rare cause for continuous murmur. Am J Cardiol 30:427PubMedCrossRefGoogle Scholar
  44. Mohr-Kahaly S, Erbel R, Börner N et al (1986) Kombination von Farbdoppler- und transösophagealer Echokardiographie in der Notfalldiagnostik bei Aortendissektionen vom Typ I. Z Kardiol 75:616PubMedGoogle Scholar
  45. Mügge A, Daniel WG, Laas J et al (1990) False-negative diagnosis of proximal aortic dissection by computed tomography or angiography and possible explanations based on transesophageal echocardiographic findings. Am J Cardiol 65:527PubMedCrossRefGoogle Scholar
  46. Nanda NC, Gramiak R, Shah PM (1973) Diagnosis of aortic root dissection by echocardiography. Circulation 48:506PubMedGoogle Scholar
  47. Nienhaber CA, Kodolitsch Y von, Siglow V et al (1992) Nachweis der thorakalen Aortendissektion: Verbesserte Spezifität durch Magnetresonanztomographie gegenüber echokardiographischen Techniken. Z Kardiol 81:205Google Scholar
  48. Perez JE (1983) Noninvasive diagnosis: Computed tomography and ultrasound. In: Doroghazu RM, Salter EE (eds) Aortic dissection. Mc Graw Hill, New York, p 133–164Google Scholar
  49. Ritvo M, Votta PJ (1944) Clinical and roentgen manifestations of dissecting aneurysm of aorta. Am J Roentgenol 52:583Google Scholar
  50. Roberts WC (1981) Aortic dissection: Anatomy, consequences and causes. Am Heart J 101:195PubMedCrossRefGoogle Scholar
  51. Scott WG, Bottom DS (1944) Laminographic studies of aorta: Their advantages and limitations. Am J Roentgenol 51:18Google Scholar
  52. Shuford WH, Sybers RG, Weens HS (1969) Problems in the aortography diagnosis of dissecting aneurysm of the aorta. New Engl J Med 280:225PubMedCrossRefGoogle Scholar
  53. Soto B, Harman MA, Ceballos R, Barcia A (1972) Angiographic diagnosis of dissecting aneurysm of the aorta. Am J Roentgenol Radium Ther Nucl Med 116:146PubMedGoogle Scholar
  54. Stein HL, Steinberg J (1968) Selective aortography, the definitive technique for diagnosis of dissecting aneurysm of the aorta. Am J Roentgenol 102:33Google Scholar
  55. Strong WW, Moggio RA, Stansel Jr HC (1974) Acute aortic dissection. Twelve-year medical and surgical experience. J thorac cardiovasc Surg 68:815PubMedGoogle Scholar
  56. Wheat Jr MW (1973) Treatment of dissecting aneurysms of the aorta: Current status. Progr cardiovasc Dis 16:87CrossRefGoogle Scholar
  57. Wheat Jr MW, Wilson JR, Bartley TD (1964) Successful replacement of the entire ascending aorta and aortic valve. J Am med Ass 188:99CrossRefGoogle Scholar
  58. Wheat Jr MW, Palmer RF, Bartley TD et al (1965) Treatment of dissecting aneurysm of the aorta without surgery. J thorac cardiovasc Surg 50:364PubMedGoogle Scholar
  59. Wolfe WG, Moran JF (1977) The evolution of medical and surgical management of acute aortic dissection (Editorial). Circulation 56:503PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • P. Bubenheimer
  • M. Schmuziger

There are no affiliations available

Personalised recommendations