Insights into the Pathogenic Mechanisms of Acute Dissection

  • Daigo Sawaki
  • Toru SuzukiEmail author


Aortic dissection is a life-threating condition which is caused by sudden separation of the aortic wall. The most common risk factors are elderly age, hypertension, and genetic background. Understanding the normal anatomy, development and physiology of the aorta is important to understand pathogenic mechanisms of aortic dissection, as will be discussed in the first section. There have been substantial advances in the last decades mainly for syndromic aortopathies. In contrast, mechanisms of non-syndromic aortic dissection are still unclear, and the prediction of patients at risk, or prevention of this condition, remains difficult. However, recent studies have started to unveil the triggering mechanism such as novel inflammatory pathways and molecules from new mouse models. In the latter part of this chapter, we will also refer these new insights and potential therapeutic targets.


Acute aortic syndrome Inflammation Connective tissue Metabolism 


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© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.INSERM U955-Biomedical Research of Mondor InstituteUniversity of Paris East Créteil-Henri Mondor HospitalParisFrance
  2. 2.University of LeicesterLeicesterUK
  3. 3.University Hospitals of Leicester NHS TrustLeicesterUK
  4. 4.Department of Cardiovascular Sciences, Cardiovascular Research Centre, Glenfield General HospitalUniversity of LeicesterLeicesterUK

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