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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

Isolated Abdominal Aortic Dissection With and Without Abdominal Aortic Aneurysm.
Gonzalez-Urquijo M, Marine L, Valdes F, Vargas JF, Bergoeing M, Mertens R
Vasc Endovascular Surg 2024 Nov;58(8):832-840. Epub 2024 Aug 18 doi: 10.1177/15385744241276648. PMID: 39155127
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
Fatal haemorrhage from aortic dissection following instillation of intrapleural streptokinase.
Srivastava P, Godden DJ, Kerr KM, Legge JS
Scott Med J 2000 Jun;45(3):86-7. doi: 10.1177/003693300004500309. PMID: 10986744
Use of intra-aortic balloon pumping (IABP) in clinical cardiac surgery and management of patients with IABP.
Watanabe H, Johnson WD, Shore RT, Kayser KL
Jpn J Surg 1978 Dec;8(4):282-90. doi: 10.1007/BF02469410. PMID: 732051

Diagnosis

Isolated Abdominal Aortic Dissection With and Without Abdominal Aortic Aneurysm.
Gonzalez-Urquijo M, Marine L, Valdes F, Vargas JF, Bergoeing M, Mertens R
Vasc Endovascular Surg 2024 Nov;58(8):832-840. Epub 2024 Aug 18 doi: 10.1177/15385744241276648. PMID: 39155127
A Novel Reverse Branch Technique for Reconstruction of a Renal Artery Perfused by the False Lumen After Thoracic Endovascular Aortic Repair.
Jin J, Bai J, Wu Y, Zhi K, Wang X, Wen X, Wu J, Qu L
J Endovasc Ther 2017 Dec;24(6):814-818. Epub 2017 Aug 17 doi: 10.1177/1526602817725265. PMID: 28814170
Multiple idiopathic arterial aneurysms masquerading as aortic dissection.
Naha K, Vivek G, Shetty RK, Dias LS
BMJ Case Rep 2013 Feb 18;2013 doi: 10.1136/bcr-2012-008030. PMID: 23420724Free PMC Article
Thoracic epidural anesthesia and epidural hematoma.
Persson J, Flisberg P, Lundberg J
Acta Anaesthesiol Scand 2002 Oct;46(9):1171-4. doi: 10.1034/j.1399-6576.2002.460921.x. PMID: 12366518
Fatal haemorrhage from aortic dissection following instillation of intrapleural streptokinase.
Srivastava P, Godden DJ, Kerr KM, Legge JS
Scott Med J 2000 Jun;45(3):86-7. doi: 10.1177/003693300004500309. PMID: 10986744

Therapy

Isolated Abdominal Aortic Dissection With and Without Abdominal Aortic Aneurysm.
Gonzalez-Urquijo M, Marine L, Valdes F, Vargas JF, Bergoeing M, Mertens R
Vasc Endovascular Surg 2024 Nov;58(8):832-840. Epub 2024 Aug 18 doi: 10.1177/15385744241276648. PMID: 39155127
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
Thoracic epidural anesthesia and epidural hematoma.
Persson J, Flisberg P, Lundberg J
Acta Anaesthesiol Scand 2002 Oct;46(9):1171-4. doi: 10.1034/j.1399-6576.2002.460921.x. PMID: 12366518
Fatal haemorrhage from aortic dissection following instillation of intrapleural streptokinase.
Srivastava P, Godden DJ, Kerr KM, Legge JS
Scott Med J 2000 Jun;45(3):86-7. doi: 10.1177/003693300004500309. PMID: 10986744

Prognosis

Complicated and Uncomplicated Isolated Abdominal Aortic Dissections Demonstrate Different Patient Characteristics and Outcomes.
Dittman JM, Benyakorn T, Mouawad NJ, Cao Z, Etafo J, Quiroga E, Starnes BW, Shalhub S
Ann Vasc Surg 2024 Aug;105:29-37. Epub 2024 Apr 3 doi: 10.1016/j.avsg.2024.01.006. PMID: 38574811
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
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
Fatal haemorrhage from aortic dissection following instillation of intrapleural streptokinase.
Srivastava P, Godden DJ, Kerr KM, Legge JS
Scott Med J 2000 Jun;45(3):86-7. doi: 10.1177/003693300004500309. PMID: 10986744

Clinical prediction guides

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
Case report: new sonographic finding in renal infarction.
Kodama K, Matsuura K, Yamashita R, Yamanaka T, Terao N, Yaginuma T
Br J Radiol 1994 May;67(797):499-500. doi: 10.1259/0007-1285-67-797-499. PMID: 8193900

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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