Epidemiology of aortic dissection

• Published in: Seminars in vascular surgery Vol. 34; no. 1; pp. 10 - 17
• Main Authors: Sen, Indrani, Erben, Young M., Franco-Mesa, Camila, DeMartino, Randall R.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.03.2021
• Subjects: Adult; Age Factors; Aged; Aged, 80 and over; Aneurysm, Dissecting - diagnostic imaging; Aneurysm, Dissecting - epidemiology; Aneurysm, Dissecting - therapy; Aortic Aneurysm - diagnostic imaging; Aortic Aneurysm - epidemiology; Aortic Aneurysm - therapy; Female; Humans; Incidence; Male; Middle Aged; Quality of Life; Race Factors; Risk Assessment; Risk Factors; Sex Factors; Surgery; Treatment Outcome; United States - epidemiology; United States
• ISSN: 0895-7967; 1558-4518; 1558-4518
• DOI: 10.1053/j.semvascsurg.2021.02.003

Aortic dissection remains a highly morbid diagnosis. The treatment of aortic dissection has undergone several paradigm shifts since it was first understood. However, despite the robust research in treatment, the epidemiology of aortic dissection is limited. In this review, we discuss the historical perspectives of aortic dissection with a review of risk factors and presentation. We review the trends in incidence during the past 40 years, with consideration for sex, race, and ethnicity in admission. We further focus our discussion of the classically described Type B aortic dissection treatment. Lastly, we review the impact of long-term events, readmissions, cost assessments, and quality of life studies of patients with aortic dissection. Care for those with aortic dissection remains a long-term challenge for providers and a multispecialty approach is needed for complete patient management.