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Abdominal aortic dissection

MedGen UID:
678397
•Concept ID:
C0837143
•
Disease or Syndrome
Synonyms: Abdominal Aorta Dissection; Abdominal Aorta Dissections; Abdominal Aortic Dissection; Abdominal Aortic Dissections; Aorta Dissection, Abdominal; Aortic Dissection, Abdominal; Dissection, Abdominal Aorta; Dissection, Abdominal Aortic
SNOMED CT: Dissection of abdominal aorta (408666009)
 
HPO: HP:0033311

Definition

A tear in the intimal layer of the abdominal aorta causing a separation between the intima and the medial layers. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAbdominal aortic dissection

Professional guidelines

PubMed

Management of Isolated Abdominal Aortic Dissection: Indications and Strategies for Treatment.
Li Y, Jiao Y, Li W, He C, Zhang H, Zhang T
Ann Vasc Surg 2024 Feb;99:117-124. Epub 2023 Nov 14 doi: 10.1016/j.avsg.2023.09.081. PMID: 37972727
Management of isolated dissection of the abdominal aorta: a single-centre experience.
Wang Y, Liu D, Ye T, Dong X, Su Y, Liang H
Interact Cardiovasc Thorac Surg 2020 Dec 7;31(6):827-833. doi: 10.1093/icvts/ivaa187. PMID: 33001181
Endovascular treatment of acute and chronic isolated abdominal aortic dissection.
Wang D, Ma T, Guo D, Xu X, Chen B, Jiang J, Yang J, Shi Z, Zhu T, Shi Y, Dong Z, Fu W
Vascular 2018 Aug;26(4):418-424. Epub 2018 Jan 8 doi: 10.1177/1708538117749406. PMID: 29310518

Recent clinical studies

Etiology

Management of Isolated Abdominal Aortic Dissection: Indications and Strategies for Treatment.
Li Y, Jiao Y, Li W, He C, Zhang H, Zhang T
Ann Vasc Surg 2024 Feb;99:117-124. Epub 2023 Nov 14 doi: 10.1016/j.avsg.2023.09.081. PMID: 37972727
Open Surgical Treatment of Acute Spontaneous Isolated Abdominal Aortic Dissection.
Zlatanovic P, Dragas M, Cvetkovic S, Dimic A, Mitrovic A, Vujcic A, Trailovic R, Stevanovic K, Davidovic L
Ann Vasc Surg 2021 Jul;74:525.e13-525.e21. Epub 2021 Apr 6 doi: 10.1016/j.avsg.2021.02.035. PMID: 33836227
Incidence and natural history of isolated abdominal aortic dissection: A population-based assessment from 1995 to 2015.
Sen I, D'Oria M, Weiss S, Bower TC, Oderich GS, Kalra M, Colglazier J, DeMartino RR
J Vasc Surg 2021 Apr;73(4):1198-1204.e1. Epub 2020 Aug 27 doi: 10.1016/j.jvs.2020.07.090. PMID: 32861864Free PMC Article
A systematic review and meta-analysis of isolated abdominal aortic dissection.
Wu J, Zafar M, Qiu J, Huang Y, Chen Y, Yu C, Elefteriades JA
J Vasc Surg 2019 Dec;70(6):2046-2053.e6. Epub 2019 Jun 14 doi: 10.1016/j.jvs.2019.04.467. PMID: 31204217
Endovascular treatment of acute and chronic isolated abdominal aortic dissection.
Wang D, Ma T, Guo D, Xu X, Chen B, Jiang J, Yang J, Shi Z, Zhu T, Shi Y, Dong Z, Fu W
Vascular 2018 Aug;26(4):418-424. Epub 2018 Jan 8 doi: 10.1177/1708538117749406. PMID: 29310518

Diagnosis

Incidence and natural history of isolated abdominal aortic dissection: A population-based assessment from 1995 to 2015.
Sen I, D'Oria M, Weiss S, Bower TC, Oderich GS, Kalra M, Colglazier J, DeMartino RR
J Vasc Surg 2021 Apr;73(4):1198-1204.e1. Epub 2020 Aug 27 doi: 10.1016/j.jvs.2020.07.090. PMID: 32861864Free PMC Article
A systematic review and meta-analysis of isolated abdominal aortic dissection.
Wu J, Zafar M, Qiu J, Huang Y, Chen Y, Yu C, Elefteriades JA
J Vasc Surg 2019 Dec;70(6):2046-2053.e6. Epub 2019 Jun 14 doi: 10.1016/j.jvs.2019.04.467. PMID: 31204217
Endovascular treatment of acute and chronic isolated abdominal aortic dissection.
Wang D, Ma T, Guo D, Xu X, Chen B, Jiang J, Yang J, Shi Z, Zhu T, Shi Y, Dong Z, Fu W
Vascular 2018 Aug;26(4):418-424. Epub 2018 Jan 8 doi: 10.1177/1708538117749406. PMID: 29310518
Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling.
Zhu QQ, Li DL, Lai MC, Chen XD, Jin W, Zhang HK, Li M
J Vasc Surg 2015 Jun;61(6):1424-31. Epub 2015 Feb 19 doi: 10.1016/j.jvs.2015.01.027. PMID: 25702918
Dissection of the abdominal aorta. Current evidence and implications for treatment strategies: a review and meta-analysis of 92 patients.
Jonker FH, Schlösser FJ, Moll FL, Muhs BE
J Endovasc Ther 2009 Feb;16(1):71-80. doi: 10.1583/08-2601.1. PMID: 19281293

Therapy

Management of Isolated Abdominal Aortic Dissection: Indications and Strategies for Treatment.
Li Y, Jiao Y, Li W, He C, Zhang H, Zhang T
Ann Vasc Surg 2024 Feb;99:117-124. Epub 2023 Nov 14 doi: 10.1016/j.avsg.2023.09.081. PMID: 37972727
Optimal medical treatment versus endovascular aortic repair in uncomplicated isolated abdominal aortic dissection.
Su S, Liu J, Wang C, Chen R, Liu Y, Huang W, Luo S, Yang F, Luo J
J Vasc Surg 2023 Apr;77(4):1028-1036.e2. Epub 2022 Nov 1 doi: 10.1016/j.jvs.2022.10.036. PMID: 36332808
Open Surgical Treatment of Acute Spontaneous Isolated Abdominal Aortic Dissection.
Zlatanovic P, Dragas M, Cvetkovic S, Dimic A, Mitrovic A, Vujcic A, Trailovic R, Stevanovic K, Davidovic L
Ann Vasc Surg 2021 Jul;74:525.e13-525.e21. Epub 2021 Apr 6 doi: 10.1016/j.avsg.2021.02.035. PMID: 33836227
Endovascular treatment of acute and chronic isolated abdominal aortic dissection.
Wang D, Ma T, Guo D, Xu X, Chen B, Jiang J, Yang J, Shi Z, Zhu T, Shi Y, Dong Z, Fu W
Vascular 2018 Aug;26(4):418-424. Epub 2018 Jan 8 doi: 10.1177/1708538117749406. PMID: 29310518
Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling.
Zhu QQ, Li DL, Lai MC, Chen XD, Jin W, Zhang HK, Li M
J Vasc Surg 2015 Jun;61(6):1424-31. Epub 2015 Feb 19 doi: 10.1016/j.jvs.2015.01.027. PMID: 25702918

Prognosis

Incidence and natural history of isolated abdominal aortic dissection: A population-based assessment from 1995 to 2015.
Sen I, D'Oria M, Weiss S, Bower TC, Oderich GS, Kalra M, Colglazier J, DeMartino RR
J Vasc Surg 2021 Apr;73(4):1198-1204.e1. Epub 2020 Aug 27 doi: 10.1016/j.jvs.2020.07.090. PMID: 32861864Free PMC Article
Factors Associated With Increased Mortality After Isolated Abdominal Aortic Dissection Repair.
Baldawi M, Baldawi M, Krafcik B, Al-Jubouri M, Markowiak S, Osman M, Brunicardi FC, Nazzal M
Ann Vasc Surg 2019 Oct;60:171-177. Epub 2019 Jun 13 doi: 10.1016/j.avsg.2019.03.038. PMID: 31201973
Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling.
Zhu QQ, Li DL, Lai MC, Chen XD, Jin W, Zhang HK, Li M
J Vasc Surg 2015 Jun;61(6):1424-31. Epub 2015 Feb 19 doi: 10.1016/j.jvs.2015.01.027. PMID: 25702918
Endovascular treatment for isolated acute abdominal aortic dissection.
Kouvelos GN, Vourliotakis G, Arnaoutoglou E, Papa N, Avgos S, Peroulis M, Papadopoulos G, Matsagkas MI
J Vasc Surg 2013 Dec;58(6):1505-11. Epub 2013 Jul 3 doi: 10.1016/j.jvs.2013.05.025. PMID: 23830158
Dissection of the abdominal aorta. Current evidence and implications for treatment strategies: a review and meta-analysis of 92 patients.
Jonker FH, Schlösser FJ, Moll FL, Muhs BE
J Endovasc Ther 2009 Feb;16(1):71-80. doi: 10.1583/08-2601.1. PMID: 19281293

Clinical prediction guides

Management of isolated dissection of the abdominal aorta: a single-centre experience.
Wang Y, Liu D, Ye T, Dong X, Su Y, Liang H
Interact Cardiovasc Thorac Surg 2020 Dec 7;31(6):827-833. doi: 10.1093/icvts/ivaa187. PMID: 33001181
A systematic review and meta-analysis of isolated abdominal aortic dissection.
Wu J, Zafar M, Qiu J, Huang Y, Chen Y, Yu C, Elefteriades JA
J Vasc Surg 2019 Dec;70(6):2046-2053.e6. Epub 2019 Jun 14 doi: 10.1016/j.jvs.2019.04.467. PMID: 31204217
Factors Associated With Increased Mortality After Isolated Abdominal Aortic Dissection Repair.
Baldawi M, Baldawi M, Krafcik B, Al-Jubouri M, Markowiak S, Osman M, Brunicardi FC, Nazzal M
Ann Vasc Surg 2019 Oct;60:171-177. Epub 2019 Jun 13 doi: 10.1016/j.avsg.2019.03.038. PMID: 31201973
Endovascular treatment of acute and chronic isolated abdominal aortic dissection.
Wang D, Ma T, Guo D, Xu X, Chen B, Jiang J, Yang J, Shi Z, Zhu T, Shi Y, Dong Z, Fu W
Vascular 2018 Aug;26(4):418-424. Epub 2018 Jan 8 doi: 10.1177/1708538117749406. PMID: 29310518
Endovascular treatment of isolated abdominal aortic dissection and postoperative aortic remodeling.
Zhu QQ, Li DL, Lai MC, Chen XD, Jin W, Zhang HK, Li M
J Vasc Surg 2015 Jun;61(6):1424-31. Epub 2015 Feb 19 doi: 10.1016/j.jvs.2015.01.027. PMID: 25702918

Recent systematic reviews

Systematic Review and Meta-analysis of Current Literature on Isolated Abdominal Aortic Dissection.
Liu Y, Han M, Zhao J, Kang L, Ma Y, Huang B, Yuan D, Yang Y
Eur J Vasc Endovasc Surg 2020 Apr;59(4):545-556. Epub 2019 Dec 9 doi: 10.1016/j.ejvs.2019.05.013. PMID: 31822385
A systematic review and meta-analysis of isolated abdominal aortic dissection.
Wu J, Zafar M, Qiu J, Huang Y, Chen Y, Yu C, Elefteriades JA
J Vasc Surg 2019 Dec;70(6):2046-2053.e6. Epub 2019 Jun 14 doi: 10.1016/j.jvs.2019.04.467. PMID: 31204217

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