Acute aortic dissection

Thierry Carrel; Thoralf M Sundt; Yskert von Kodolitsch; Martin Czerny

doi:10.1016/S0140-6736(22)01970-5

Acute aortic dissection

Standard

Acute aortic dissection. / Carrel, Thierry; Sundt, Thoralf M; von Kodolitsch, Yskert; Czerny, Martin.

In: LANCET, Vol. 401, No. 10378, 04.03.2023, p. 773-788.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Carrel, T, Sundt, TM, von Kodolitsch, Y & Czerny, M 2023, 'Acute aortic dissection', LANCET, vol. 401, no. 10378, pp. 773-788. https://doi.org/10.1016/S0140-6736(22)01970-5

APA

Carrel, T., Sundt, T. M., von Kodolitsch, Y., & Czerny, M. (2023). Acute aortic dissection. LANCET, 401(10378), 773-788. https://doi.org/10.1016/S0140-6736(22)01970-5

Vancouver

Carrel T, Sundt TM, von Kodolitsch Y, Czerny M. Acute aortic dissection. LANCET. 2023 Mar 4;401(10378):773-788. https://doi.org/10.1016/S0140-6736(22)01970-5

Bibtex

@article{91a85ea9e6ad4a16a40582121734f66e,

title = "Acute aortic dissection",

abstract = "Although substantial progress has been made in the prevention, diagnosis, and treatment of acute aortic dissection, it remains a complex cardiovascular event, with a high immediate mortality and substantial morbidity in individuals surviving the acute period. The past decade has allowed a leap forward in understanding the pathophysiology of this disease; the existing classifications have been challenged, and the scientific community moves towards a nomenclature that is likely to unify the current definitions according to morphology and function. The most important pathophysiological pathway, namely the location and extension of the initial intimal tear, which causes a disruption of the media layer of the aortic wall, together with the size of the affected aortic segments, determines whether the patient should undergo emergency surgery, an endovascular intervention, or receive optimal medical treatment. The scientific evidence for the management and follow-up of acute aortic dissection continues to evolve. This Seminar provides a clinically relevant overview of potential prevention, diagnosis, and management of acute aortic dissection, which is the most severe acute aortic syndrome.",

keywords = "Humans, Aortic Dissection, Aorta, Acute Disease, Aortic Aneurysm, Thoracic/surgery, Treatment Outcome",

author = "Thierry Carrel and Sundt, {Thoralf M} and {von Kodolitsch}, Yskert and Martin Czerny",

year = "2023",

month = mar,

day = "4",

doi = "10.1016/S0140-6736(22)01970-5",

language = "English",

volume = "401",

pages = "773--788",

journal = "LANCET",

issn = "0140-6736",

publisher = "Elsevier Limited",

number = "10378",

}

RIS

TY - JOUR

T1 - Acute aortic dissection

AU - Carrel, Thierry

AU - Sundt, Thoralf M

AU - von Kodolitsch, Yskert

AU - Czerny, Martin

PY - 2023/3/4

Y1 - 2023/3/4

N2 - Although substantial progress has been made in the prevention, diagnosis, and treatment of acute aortic dissection, it remains a complex cardiovascular event, with a high immediate mortality and substantial morbidity in individuals surviving the acute period. The past decade has allowed a leap forward in understanding the pathophysiology of this disease; the existing classifications have been challenged, and the scientific community moves towards a nomenclature that is likely to unify the current definitions according to morphology and function. The most important pathophysiological pathway, namely the location and extension of the initial intimal tear, which causes a disruption of the media layer of the aortic wall, together with the size of the affected aortic segments, determines whether the patient should undergo emergency surgery, an endovascular intervention, or receive optimal medical treatment. The scientific evidence for the management and follow-up of acute aortic dissection continues to evolve. This Seminar provides a clinically relevant overview of potential prevention, diagnosis, and management of acute aortic dissection, which is the most severe acute aortic syndrome.

AB - Although substantial progress has been made in the prevention, diagnosis, and treatment of acute aortic dissection, it remains a complex cardiovascular event, with a high immediate mortality and substantial morbidity in individuals surviving the acute period. The past decade has allowed a leap forward in understanding the pathophysiology of this disease; the existing classifications have been challenged, and the scientific community moves towards a nomenclature that is likely to unify the current definitions according to morphology and function. The most important pathophysiological pathway, namely the location and extension of the initial intimal tear, which causes a disruption of the media layer of the aortic wall, together with the size of the affected aortic segments, determines whether the patient should undergo emergency surgery, an endovascular intervention, or receive optimal medical treatment. The scientific evidence for the management and follow-up of acute aortic dissection continues to evolve. This Seminar provides a clinically relevant overview of potential prevention, diagnosis, and management of acute aortic dissection, which is the most severe acute aortic syndrome.

KW - Humans

KW - Aortic Dissection

KW - Aorta

KW - Acute Disease

KW - Aortic Aneurysm, Thoracic/surgery

KW - Treatment Outcome

U2 - 10.1016/S0140-6736(22)01970-5

DO - 10.1016/S0140-6736(22)01970-5

M3 - SCORING: Review article

C2 - 36640801

VL - 401

SP - 773

EP - 788

JO - LANCET

JF - LANCET

SN - 0140-6736

IS - 10378

ER -