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Aortic rupture

MedGen UID:
8151
Concept ID:
C0003496
Disease or Syndrome
Synonyms: Aortic Rupture; Aortic Ruptures; Rupture, Aortic; Ruptures, Aortic
 
HPO: HP:0031649

Definition

Tearing of the aortic wall generally associated with profuse internal bleeding. [from HPO]

Conditions with this feature

Aortic aneurysm, familial thoracic 7
MedGen UID:
462427
Concept ID:
C3151077
Disease or Syndrome
Ehlers-Danlos syndrome, kyphoscoliotic and deafness type
MedGen UID:
482790
Concept ID:
C3281160
Disease or Syndrome
FKBP14 kyphoscoliotic Ehlers-Danlos syndrome (FKBP14-kEDS) is characterized by congenital muscle hypotonia and weakness (typically improving during childhood), progressive scoliosis, joint hypermobility, hyperelastic skin, gross motor developmental delay, myopathy, and hearing impairment. Most affected children achieve independent walking between ages two and four years. A decline of motor function in adulthood may be seen, but affected individuals are likely to be able to participate in activities of daily living in adulthood and maintain independent walking. Occasional features underlying systemic connective tissue involvement include aortic rupture and arterial dissection, subdural hygroma, insufficiency of cardiac valves, bluish sclerae, bladder diverticula, inguinal or umbilical herniae, and premature rupture of membranes during pregnancy. Rarer findings may include bifid uvula with submucous or frank cleft palate, speech/language delay without true cognitive impairment, and rectal prolapse.

Professional guidelines

PubMed

Jen JP, Malik A, Lewis G, Holloway B
Br J Hosp Med (Lond) 2020 Oct 2;81(10):1-12. Epub 2020 Oct 23 doi: 10.12968/hmed.2020.0344. PMID: 33135923
Alfson DB, Ham SW
Cardiol Clin 2017 Aug;35(3):387-410. Epub 2017 May 26 doi: 10.1016/j.ccl.2017.03.007. PMID: 28683909
Nauta FJ, Trimarchi S, Kamman AV, Moll FL, van Herwaarden JA, Patel HJ, Figueroa CA, Eagle KA, Froehlich JB
Vasc Med 2016 Jun;21(3):251-63. Epub 2016 Apr 11 doi: 10.1177/1358863X16642318. PMID: 27067136

Recent clinical studies

Etiology

De Freitas S, D'Ambrosio N, Fatima J
Surg Clin North Am 2023 Aug;103(4):595-614. Epub 2023 Jun 9 doi: 10.1016/j.suc.2023.05.001. PMID: 37455027
Calgi MP, McNeil JS
Anesthesiol Clin 2022 Dec;40(4):657-669. Epub 2022 Sep 28 doi: 10.1016/j.anclin.2022.08.010. PMID: 36328621
Poniedzialek-Czajkowska E, Sadowska A, Mierzynski R, Leszczynska-Gorzelak B
Ginekol Pol 2019;90(6):346-350. doi: 10.5603/GP.2019.0052. PMID: 31276187
Singh A, Mehta Y
Ann Card Anaesth 2015 Oct-Dec;18(4):537-42. doi: 10.4103/0971-9784.166463. PMID: 26440240Free PMC Article
Sakalihasan N, Limet R, Defawe OD
Lancet 2005 Apr 30-May 6;365(9470):1577-89. doi: 10.1016/S0140-6736(05)66459-8. PMID: 15866312

Diagnosis

Blusztein D, Agrawal H
J Invasive Cardiol 2021 Jul;33(7):E575. PMID: 34224386
White A, Broder J, Mando-Vandrick J, Wendell J, Crowe J
Adv Emerg Nurs J 2013 Jan-Mar;35(1):28-52. doi: 10.1097/TME.0b013e31827145d0. PMID: 23364404
Thrumurthy SG, Karthikesalingam A, Patterson BO, Holt PJ, Thompson MM
BMJ 2011 Jan 11;344:d8290. doi: 10.1136/bmj.d8290. PMID: 22236596
Feldman DN, Roman MJ
Cardiology 2006;106(2):73-81. Epub 2006 Apr 12 doi: 10.1159/000092635. PMID: 16612073
Balm R, Hoornweg LL
J Cardiovasc Surg (Torino) 2005 Apr;46(2):101-5. PMID: 15793488

Therapy

Dalman RL, Wanhainen A, Mani K, Modarai B
J Intern Med 2020 Jul;288(1):23-37. Epub 2020 Mar 18 doi: 10.1111/joim.13042. PMID: 32187752
Yu X, Jiang D, Wang J, Wang R, Chen T, Wang K, Durgahee MSA, Wei X, Cao S
Heart 2019 Sep;105(17):1351-1357. Epub 2019 Apr 1 doi: 10.1136/heartjnl-2018-314639. PMID: 30936409
Golledge J
Nat Rev Cardiol 2019 Apr;16(4):225-242. doi: 10.1038/s41569-018-0114-9. PMID: 30443031
Yoshimura K, Morikage N, Nishino-Fujimoto S, Furutani A, Shirasawa B, Hamano K
Curr Drug Targets 2018;19(11):1265-1275. doi: 10.2174/1389450119666171227223331. PMID: 29284386Free PMC Article
Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM Jr, White CJ, White J, White RA, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B; American Association for Vascular Surgery; Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease; American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; Vascular Disease Foundation
Circulation 2006 Mar 21;113(11):e463-654. doi: 10.1161/CIRCULATIONAHA.106.174526. PMID: 16549646

Prognosis

Choong AMTL, Marjot J, Wee IJY, Syn N, Marjot T, Brightwell RE, Walker PJ
J Vasc Surg 2019 May;69(5):1615-1632.e17. Epub 2019 Feb 18 doi: 10.1016/j.jvs.2018.09.030. PMID: 30792059
Patel K, Zafar MA, Ziganshin BA, Elefteriades JA
Cardiology 2018;141(2):107-122. Epub 2018 Nov 19 doi: 10.1159/000490373. PMID: 30453299
Ahmed R, Ghoorah K, Kunadian V
Cardiol Rev 2016 Mar-Apr;24(2):88-93. doi: 10.1097/CRD.0000000000000052. PMID: 25580705
Vitale J, Manfredini R, Gallerani M, Mumoli N, Eagle KA, Ageno W, Dentali F
Chronobiol Int 2015 Apr;32(3):385-94. Epub 2014 Nov 21 doi: 10.3109/07420528.2014.983604. PMID: 25414043
Booher AM, Eagle KA, Bossone E
Herz 2011 Sep;36(6):480-7. doi: 10.1007/s00059-011-3504-x. PMID: 21912914

Clinical prediction guides

Fletcher AJ, Syed MBJ, Aitman TJ, Newby DE, Walker NL
Circulation 2020 May 12;141(19):1570-1587. Epub 2020 May 11 doi: 10.1161/CIRCULATIONAHA.119.043756. PMID: 32392100Free PMC Article
Sprynger M, Willems M, Van Damme H, Drieghe B, Wautrecht JC, Moonen M
Angiology 2019 May;70(5):407-413. Epub 2019 Jan 17 doi: 10.1177/0003319718824940. PMID: 30654619
Nazerian P, Mueller C, Soeiro AM, Leidel BA, Salvadeo SAT, Giachino F, Vanni S, Grimm K, Oliveira MT Jr, Pivetta E, Lupia E, Grifoni S, Morello F; ADvISED Investigators
Circulation 2018 Jan 16;137(3):250-258. Epub 2017 Oct 13 doi: 10.1161/CIRCULATIONAHA.117.029457. PMID: 29030346
Lilja F, Wanhainen A, Mani K
J Cardiovasc Surg (Torino) 2017 Dec;58(6):848-853. Epub 2017 Jun 20 doi: 10.23736/S0021-9509.17.10064-9. PMID: 28633519
Raman SV, Aneja A, Jarjour WN
J Cardiovasc Magn Reson 2012 Nov 30;14(1):82. doi: 10.1186/1532-429X-14-82. PMID: 23199343Free PMC Article

Recent systematic reviews

Yu X, Jiang D, Wang J, Wang R, Chen T, Wang K, Durgahee MSA, Wei X, Cao S
Heart 2019 Sep;105(17):1351-1357. Epub 2019 Apr 1 doi: 10.1136/heartjnl-2018-314639. PMID: 30936409
Choong AMTL, Marjot J, Wee IJY, Syn N, Marjot T, Brightwell RE, Walker PJ
J Vasc Surg 2019 May;69(5):1615-1632.e17. Epub 2019 Feb 18 doi: 10.1016/j.jvs.2018.09.030. PMID: 30792059
Zaiem F, Almasri J, Tello M, Prokop LJ, Chaikof EL, Murad MH
J Vasc Surg 2018 Jan;67(1):320-331.e37. Epub 2017 Jun 26 doi: 10.1016/j.jvs.2017.04.058. PMID: 28662928
Oladokun D, Patterson BO, Sobocinski J, Karthikesalingam A, Loftus I, Thompson MM, Holt PJ
Eur J Vasc Endovasc Surg 2016 May;51(5):674-81. Epub 2016 Mar 2 doi: 10.1016/j.ejvs.2016.01.017. PMID: 26947541
Vitale J, Manfredini R, Gallerani M, Mumoli N, Eagle KA, Ageno W, Dentali F
Chronobiol Int 2015 Apr;32(3):385-94. Epub 2014 Nov 21 doi: 10.3109/07420528.2014.983604. PMID: 25414043

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