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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 type, 2
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

Singh A, Mehta Y
Ann Card Anaesth 2015 Oct-Dec;18(4):537-42. doi: 10.4103/0971-9784.166463. PMID: 26440240Free PMC Article
Liu J, Daugherty A, Lu H
Curr Pharm Des 2015;21(28):4035-48. doi: 10.2174/1381612821666150826093318. PMID: 26306840
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
Balm R, Hoornweg LL
J Cardiovasc Surg (Torino) 2005 Apr;46(2):101-5. PMID: 15793488
Ernst CB
N Engl J Med 1993 Apr 22;328(16):1167-72. doi: 10.1056/NEJM199304223281607. PMID: 8455684

Diagnosis

Tsai TT, Nienaber CA, Eagle KA
Circulation 2005 Dec 13;112(24):3802-13. doi: 10.1161/CIRCULATIONAHA.105.534198. PMID: 16344407
Balm R, Hoornweg LL
J Cardiovasc Surg (Torino) 2005 Apr;46(2):101-5. PMID: 15793488
Semashko DC
Mt Sinai J Med 1997 Sep-Oct;64(4-5):316-22. PMID: 9293733
Ernst CB
N Engl J Med 1993 Apr 22;328(16):1167-72. doi: 10.1056/NEJM199304223281607. PMID: 8455684
Hopkins NF
Br Med J (Clin Res Ed) 1987 Mar 28;294(6575):790-1. doi: 10.1136/bmj.294.6575.790. PMID: 3105742Free PMC Article

Therapy

Galyfos G, Sigala F, Mpananis K, Vouros D, Kimpizi D, Theodoropoulos C, Zografos G, Filis K
Trends Cardiovasc Med 2020 Nov;30(8):500-504. Epub 2019 Nov 26 doi: 10.1016/j.tcm.2019.11.006. PMID: 31796345
Golledge J
Nat Rev Cardiol 2019 Apr;16(4):225-242. doi: 10.1038/s41569-018-0114-9. PMID: 30443031
Meriano T
J Spec Oper Med 2014 Fall;14(3):98-101. doi: 10.55460/KYUZ-MMCX. PMID: 25344716
Manfredini R, Fabbian F, Manfredini F, Salmi R, Gallerani M, Bossone E
Prog Cardiovasc Dis 2013 Jul-Aug;56(1):116-24. Epub 2013 May 23 doi: 10.1016/j.pcad.2013.04.001. PMID: 23993245
Takayama T, Yamanouchi D
Surg Clin North Am 2013 Aug;93(4):877-91, viii. Epub 2013 Jul 3 doi: 10.1016/j.suc.2013.05.005. PMID: 23885935

Prognosis

Lin CH, Li LY, Tsai SH, Lin CY, Yang CJ
Ann Emerg Med 2019 Sep;74(3):454-461. doi: 10.1016/j.annemergmed.2019.03.004. PMID: 31445547
Booher AM, Eagle KA, Bossone E
Herz 2011 Sep;36(6):480-7. doi: 10.1007/s00059-011-3504-x. PMID: 21912914
Zhang LJ, Lu GM
Eur Heart J 2011 Oct;32(20):2498. Epub 2011 Jun 30 doi: 10.1093/eurheartj/ehr206. PMID: 21719453
Tsai TT, Nienaber CA, Eagle KA
Circulation 2005 Dec 13;112(24):3802-13. doi: 10.1161/CIRCULATIONAHA.105.534198. PMID: 16344407
van der Vliet JA, Boll AP
Lancet 1997 Mar 22;349(9055):863-6. doi: 10.1016/s0140-6736(96)07282-0. PMID: 9121274

Clinical prediction guides

Shih ED, Provenzano PP, Witzenburg CM, Barocas VH, Grande AW, Alford PW
J Vasc Res 2022;59(1):34-42. Epub 2021 Nov 10 doi: 10.1159/000519694. PMID: 34758464
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
Skervin AL, Lim CS, Sritharan K
Vasc Endovascular Surg 2017 Oct;51(7):522-526. Epub 2017 Aug 7 doi: 10.1177/1538574417718447. PMID: 28782417
Wanhainen A, Mani K, Golledge J
Arterioscler Thromb Vasc Biol 2016 Feb;36(2):236-44. Epub 2015 Dec 29 doi: 10.1161/ATVBAHA.115.306538. PMID: 26715680
Elefteriades JA
J Thorac Cardiovasc Surg 2010 Dec;140(6 Suppl):S5-9; discussion S45-51. doi: 10.1016/j.jtcvs.2010.10.001. PMID: 21092797

Recent systematic reviews

Kokje VB, Hamming JF, Lindeman JH
Eur J Vasc Endovasc Surg 2015 Dec;50(6):702-13. Epub 2015 Oct 9 doi: 10.1016/j.ejvs.2015.08.010. PMID: 26482507
Hameed AM, Lam VW, Pleass HC
HPB (Oxford) 2015 Feb;17(2):99-112. Epub 2014 Jun 3 doi: 10.1111/hpb.12277. PMID: 24888393Free PMC Article
Khosla S, Morris DR, Moxon JV, Walker PJ, Gasser TC, Golledge J
Br J Surg 2014 Oct;101(11):1350-7; discussion 1357. Epub 2014 Aug 11 doi: 10.1002/bjs.9578. PMID: 25131598
Bergqvist D
Eur J Vasc Endovasc Surg 2011 May;41(5):663-7. Epub 2011 Feb 16 doi: 10.1016/j.ejvs.2011.01.009. PMID: 21330159
Harkin DW, Dillon M, Blair PH, Ellis PK, Kee F
Eur J Vasc Endovasc Surg 2007 Dec;34(6):673-81. Epub 2007 Aug 27 doi: 10.1016/j.ejvs.2007.06.004. PMID: 17719809

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