Acute aortic dissection is a time-critical emergency that air medical teams must be capable of

transporting. Aortic dissections can manifest a myriad of complications in which prompt recognition and
tailored treatments may mitigate additional physiological burden and limit dissection flap propagation.

Acute aortic syndrome (AAS) groups together several severe, aortic, life-threatening conditions, which
include acute aortic dissection, intramural haematoma (IMH), and penetrating aortic ulcer (PAU)

Aortic dissection is the most common form of AAS, followed by IMH and PAU

An abrupt onset of severe pain is the most important symptom the diagnosis of AAS

Early and accurate diagnosis of AAS is reliant on the use of CT, echocardiography, or MRI

The optimal treatment of patients with AAS remains a challenging clinical dilemma and further studies
are required to fully characterize these conditions and design individualized, patient-centred treatment
plans

Abstract
Acute aortic syndrome (AAS) encompasses a group of severe, life-threatening disorders of the aorta,
including acute aortic dissection, intramural haematoma (IMH), and penetrating aortic ulcer (PAU). The
concept of AAS was developed to enable the early identification and definitive treatment of patients with
chest pain from an aortic origin. Aortic dissection is the most common form of AAS, followed by IMH
and PAU. Congenital cardiovascular defects, genetic syndromes, and nonsyndromic genetic variants have
all been linked with the development of AAS. The diagnosis of AAS in the clinic can be made using
imaging modalities such as CT, echocardiography, and MRI. The initial management of patients with
AAS is focussed on the control of blood pressure to reduce aortic wall stress. A multidisciplinary team is
required to assess each patient and decide whether endovascular or open surgical treatment, or further
medical management is indicated. The optimal treatment of patients with AAS remains a challenging
clinical dilemma, and further studies are required to fully characterize conditions within the AAS
spectrum and to design individualized, patient-centred treatment plans.

https://www.ahajournals.org/doi/full/10.1161/circulationaha.110.958975 etiologia
https://www.intechopen.com/chapters/69460 clasificarea am luato de aici

Figure 2. Contrast computed tomography scan demonstrating acute type A aortic dissection with
enlargement of the ascending aorta and intimal flap (arrow) in the ascending and descending aorta. Both
the true lumen (TL) and false lumen are opacified with contrast in this example. Reprinted with
permission from Braverman et al.2© Elsevier. In press.

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imagini la diagnostic sunt aici

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fbclid=IwAR3Et_xlkVsLgTPM8rcTknwMUFue0cdsqGAHOPgNHl6CV9Lifyx5Q1uT2Yk ghidul

https://www.jtcvs.org/article/S0022-5223(15)01017-X/fulltext tratament la tip A

https://www.sciencedirect.com/science/article/pii/S0735109719361637 tratament tip B