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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

Li HL, Chan YC, Cheng SW
Ann Vasc Surg 2018 Aug;51:306-313. Epub 2018 Jun 11 doi: 10.1016/j.avsg.2018.02.038. PMID: 29772328
Ullery BW, Hallett RL, Fleischmann D
Abdom Radiol (NY) 2018 May;43(5):1032-1043. doi: 10.1007/s00261-017-1450-7. PMID: 29313113
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

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
Schmitz-Rixen T, Keese M, Hakimi M, Peters A, Böckler D, Nelson K, Grundmann RT
Langenbecks Arch Surg 2016 May;401(3):275-88. Epub 2016 Mar 21 doi: 10.1007/s00423-016-1401-8. PMID: 27001684
Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM
Nat Rev Cardiol 2011 Feb;8(2):92-102. Epub 2010 Nov 16 doi: 10.1038/nrcardio.2010.180. PMID: 21079638
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
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
Watanabe K, Fukuda I, Asari Y
Surg Today 2013 Dec;43(12):1339-46. Epub 2013 Jan 23 doi: 10.1007/s00595-012-0471-7. PMID: 23338596
Thrumurthy SG, Karthikesalingam A, Patterson BO, Holt PJ, Thompson MM
BMJ 2011 Jan 11;344:d8290. doi: 10.1136/bmj.d8290. PMID: 22236596
Balm R, Hoornweg LL
J Cardiovasc Surg (Torino) 2005 Apr;46(2):101-5. PMID: 15793488

Therapy

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
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM
Nat Rev Cardiol 2011 Feb;8(2):92-102. Epub 2010 Nov 16 doi: 10.1038/nrcardio.2010.180. PMID: 21079638
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

Xie E, Yang F, Liu Y, Xue L, Fan R, Xie N, Chen L, Liu J, Luo J
Eur J Vasc Endovasc Surg 2021 May;61(5):788-797. Epub 2021 Apr 10 doi: 10.1016/j.ejvs.2021.02.026. PMID: 33846073
Guo MH, Appoo JJ, Saczkowski R, Smith HN, Ouzounian M, Gregory AJ, Herget EJ, Boodhwani M
JAMA Netw Open 2018 Aug 3;1(4):e181281. doi: 10.1001/jamanetworkopen.2018.1281. PMID: 30646119Free PMC Article
Patel K, Zafar MA, Ziganshin BA, Elefteriades JA
Cardiology 2018;141(2):107-122. Epub 2018 Nov 19 doi: 10.1159/000490373. PMID: 30453299
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
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
Bock JS, Benitez RM
Cardiol Clin 2012 Nov;30(4):545-55. Epub 2012 Sep 5 doi: 10.1016/j.ccl.2012.07.001. PMID: 23102031

Recent systematic reviews

Jordan F, FitzGibbon B, Kavanagh EP, McHugh P, Veerasingam D, Sultan S, Hynes N
Cochrane Database Syst Rev 2021 Dec 14;12(12):CD012992. doi: 10.1002/14651858.CD012992.pub2. PMID: 34905228Free PMC Article
Guo MH, Appoo JJ, Saczkowski R, Smith HN, Ouzounian M, Gregory AJ, Herget EJ, Boodhwani M
JAMA Netw Open 2018 Aug 3;1(4):e181281. doi: 10.1001/jamanetworkopen.2018.1281. PMID: 30646119Free PMC Article
Li HL, Chan YC, Cheng SW
Ann Vasc Surg 2018 Aug;51:306-313. Epub 2018 Jun 11 doi: 10.1016/j.avsg.2018.02.038. PMID: 29772328
Badger S, Forster R, Blair PH, Ellis P, Kee F, Harkin DW
Cochrane Database Syst Rev 2017 May 26;5(5):CD005261. doi: 10.1002/14651858.CD005261.pub4. PMID: 28548204Free PMC Article
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

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