July 5, 2021

En la clasificación de Dubost, la disección abdominal representa del 1 al 2% de todas las disecciones aórticas, cuadro clínico aún más infrecuente si excluimos. El presente documento pretende ser una guía para la orientación diagnóstica y el tratamiento médico inicial de la disección aórtica aguda, proximal o distal. RESUMEN. Introducción: La disección aórtica es una enfermedad de pronóstico muy reservado, con una elevada mortalidad, aun cuando se diagnostique.

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Cherry hemangioma Halo nevus Spider airtica. The intima is in direct contact with the blood inside the vessel, and mainly consists of a layer of endothelial cells on a basement membrane ; the media contains connective and muscle tissue, and the vessel is protected on the outside by the adventitia, comprising connective tissue.

Chest radiography may demonstrate a change in the morphology of the thoracic aorta which can be seen in aortic dissection. Aortic dissection AD occurs when an injury to the innermost layer of the aorta allows blood to flow between the layers of the aortic wall, forcing the layers apart. Archived from the original on 24 December While many institutions give sedation during transesophageal echocardiography for added patient comfort, it can be performed in cooperative individuals without the use of sedation.

Vasodilators such as sodium nitroprusside can be considered for people with ongoing high blood pressure, but they should never be used alone, as they often stimulate a reflexive increase in the heart rate. This is a particularly dangerous eventuality, suggesting that acute pericardial tamponade may be imminent.


Aortic dissection affects an estimated 2. Angiology accepts and aorrtica articles for publication received from Spain and Latin American countries. While it is not always clear why an intimal tear may occur, quite often it involves degeneration of the collagen and elastin that make up the media.

Aortic dissection – Wikipedia

Beta blockers are aoftica first-line treatment for patients with acute and chronic aortic dissection. DeBakeyis an anatomical description of the aortic dissection.

In general, the imaging technique chosen is based on the pretest likelihood of the diagnosis, availability of the testing modality, patient stability, and the sensitivity and specificity of the test. This type of scan is timed to an injection to capture the contrast as it enters the aorta. While the pain may be confused with the pain of a myocardial infarction heart attackaortic dissection is usually not associated with the other signs that suggest myocardial infarction, including heart failure and ECG changes.

The cause of the infarction is involvement of the coronary arterieswhich supply the heart with oxygenated blood, in the dissection. Repair may be recommended when greater than 4. This item has received. The dissection may dilate the annulus of the aortic valveso that the leaflets of the valve cannot coapt. Individuals who have undergone aortic valve replacement for aortic insufficiency are at particularly high risk because aortic insufficiency causes increased blood flow in the ascending aorta.

Acute infrarenal abdominal aortic dissection. Strokemesenteric ischemiamyocardial ischemiaaortic rupture [2]. The risk of death due to aortic dissection is highest in the first few hours after the dissection begins, and decreases afterward. It is especially good in the evaluation of AI in the setting of ascending aortic dissection, and to determine whether the ostia origins aortiva the coronary arteries are involved.


Prevention is by blood pressure control and not smoking. Classically, new widening of the mediastinum on radiograph is of moderate sensitivity for detecting an ascending aortic dissection; however, this finding is of low specificityas many other conditions can cause apparent widening of the mediastinum.

Aortic dissection

Advanced Emergency Nursing Journal. In these cases, the inciting event is thought to be an intramural hematoma caused by bleeding within the media.

Blood pressure control, not smoking [1]. Complications include compromise of a vital organ, rupture or impending rupture of the aorta, retrograde dissection into the ascending aorta. A TEE may be technically difficult to perform in individuals with esophageal strictures or varices. Retrieved from ” https: Anterior chest pain is associated with dissections involving the ascending aorta, airtica interscapular back pain is associated with descending aortic dissections.

High blood pressureMarfan syndromeTurner syndromebicuspid aortic valveprevious heart surgerymajor traumasmoking [1] [2] [3]. Aortic dissection is associated with hypertension high blood pressure and many connective tissue disorders.

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