Update in aortic dissection

New concepts regarding the diagnosis, classification, and treatment of aortic dissection have been recently developed. The aim of this paper is to describe the current state of knowledge on this subject and discuss any controversies surrounding it. Novel findings in the patho mechanisms of aortic di...

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Bibliographic Details
Published inTrends in cardiovascular medicine Vol. 32; no. 7; pp. 456 - 461
Main Authors Juraszek, Andrzej, Czerny, Martin, Rylski, Bartosz
Format Journal Article
LanguageEnglish
Published Philadelphia Elsevier Inc 01.10.2022
Elsevier Limited
Subjects
Aorta
Aortic dissection
Biomarkers
Cardiovascular system
Classification
Clinical medicine
Coronary vessels
Cytokines
Dissection
Ischemia
Magnetic resonance imaging
Medical imaging
Mortality
Pandemics
Surgery
Thorax
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Summary:New concepts regarding the diagnosis, classification, and treatment of aortic dissection have been recently developed. The aim of this paper is to describe the current state of knowledge on this subject and discuss any controversies surrounding it. Novel findings in the patho mechanisms of aortic dissection have evolved focusing on the indications for preventive surgery, biomarkers, and four-dimensional (4D)-flow magnetic resonance imaging. New classifications of aortic dissections have been proposed (TEM, STS/SVS). Finally, recent treatment improvements in aortic dissection treatment options have been presented, i.e., the frozen elephant trunk approach, thoracic endovascular repair, and the endo-Bentall concept as a future option.
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ISSN:1050-1738
1873-2615
1873-2615
DOI:10.1016/j.tcm.2021.08.008