Abstract
The article reveals modern principles of diagnosis and treatment of aortic dissection (AD). The prevalence of AD, its causes, clinical presentation, and the main diagnostic instrumental methods are defined. The article also highlights the treatment approaches for different types of AD. Additionally, a clinical case of chronic AD is described, demonstrating the use of modern endovascular technology in treating AD –specifically, the application of stent grafts.
References
Morgagni GB. De sedibus et causis morborum per anatomen indagatis / GB Morgagni. Epist XVII. Typographia Remondiniana, Venetiis, 1761. 450 p.
Sayed A, Munir M, Bahbah EI. Aortic Dissection: A Review of the Pathophysiology, Management and Prospective Advances. Current cardiology reviews. 2021;17(4):15. doi: 10.2174/1573403X16666201014142930
Olsson C, Thelin S, Stеhle E et al. Thoracic aortic aneurysm and dissection: increasing prevalence and improved outcomes reported in a nationwide population-based study of more than 14,000 cases from 1987 to 2002. Circulation. 2006;114(24):2611-8.
Patel PD, Arora RR. Pathophysiology, diagnosis, and management of aortic dissection. Ther Adv Cardiovasc Dis. 2008;2(6):439-68.
Crawford ES, Crawford JL, Safi HJ, et al. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. Journal Vasc. Surg. 1986;3(3):389-404. doi: 10.1067/mva.1986.avs0030389
Safi HJ, Miller CC 3rd. Spinal cord protection in descending thoracic and thoracoabdominal aortic repair. Ann Thorac Surg. 1999;67(6):1937-1958. doi:10.1016/s0003-4975(99)00397-5
Svensson LG, et al. Intimal tear without hematoma: an important variant of aortic dissection that can elude current imaging techniques. Circulation. 1999;99(10):1331-1336. doi: 10.1161/01.cir.99.10.1331
Daily PO, Trueblood HW, Stinson EB, Wuerflein RD, Shumway NE. Management of acute aortic dissections. The Annals of thoracic surgery. 1970;10(3):237-247. doi:10.1016/s0003-4975(10)65594-4
Debakey ME, et al. Surgical management of dissecting aneurysms of the aorta. The Journal of thoracic and cardiovascular surgery. 1965;49:130-149. ISSN 0022-5223
Robicsek F. Aneurysms of the thoracic aorta. Vasc. Surg. 2-nd ed. Appleton-Century-Crofts, E. Norwalk, CT, 1984. 637-684 p.
Hirst AE Jr, Johns VJ Jr, Kime SW Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine. 1958;37(3):217-279. doi: 10.1097/00005792-195809000-00003
Erbel R, Aboyans V, Boileau C et al. 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC). Eur Heart J. 2014;35(41):2873-926.
Скибчик ВА. Гостре розшарування аорти: діагностика, лікування та прогноз. Артеріальна гіпертензія. 2017;3(53):48-54.