AORTIC DISSECTION Etiology ClinicalAlcoholic Cirrhosis Clinical features Physical findings Treatment. Read more ... » manifestations TreatmentAlcoholic Cirrhosis Clinical features Physical findings Treatment. Read more ... »
- Aortic dissection is a tear of the intima transversely or circumferentially .
- relatively uncommon, though catastrophic illness often presenting with severe chest painApproach to Chest Pain Differential diagnosis of chest pain. Read more ... » and acuteAlcoholic Cirrhosis Clinical features Physical findings Treatment. Read more ... » hemodynamic compromise
- It is commonly seen along the right lateral wall of ascending aorta.
- primary event in aortic dissection is a tear in the aortic intima
- Blood passes into the aortic media through the tear, separating the intima from the surrounding media and/or adventitia, and creating a false lumen
- Propagation of the dissection can occur both distal and proximal to the initial tear
Aortic dissection may be : (Stanford classification)
- Type A involving ascending aorta.
- Type B – Jnvolving descending aorta.
AORTIC DISSECTION Etiology : –
- AtherosclerosisAcute Myocardial Infarction (AMI) Causes PATHOPHYSIOLOGY and Etiology. Read more ... »
- HypertensionMyxedema coma Diagnosis and Treatment. Read more ... »
- Cystic medial necrosis
- - Marfan syndromeMetabolic,Insulin Resistance Syndrome X Causes Symptoms. Read more ... »
- -Jo Ehlers-Danlos syndrome
- - Takayasu arteritisVasculitis Syndrome Causes Differential Diagnosis Symptoms and Treatment. Read more ... »
- - Congenital
- Coarctation of aorta
- Common in elderly males.
AORTIC DISSECTION Clinical manifestations
- HematuriaDIAGNOSIS and Investigations OF SECONDARY HYPERTENSION. Read more ... » Myocardial ischemiaIschemia Myocardial ischemia(MI) ECG and effects of ischemia. Read more ... »
- Pain is felt in front or back of chest Syncope
- HypotensionDiabetic Nephropathy and Renal complications of DM (Diabetes Mellitus). Read more ... »
- Absent pulses
- Pulmonary edemaPulmonary Edema Causes Diagnosis with Treatment. Read more ... »
- Carotid artery obstruction – resulting in hemiplegia, paraplegia
- Sudden onset of severe pain with sweating.
- X-ray chest – widened mediastinum
- ECGCARDIAC MARKERS IN MI, AMI and Myocardial Injury. Read more ... » – may show MI or LVH strain pattern
- 2D echocardiography2D Echocardiography Dobutamine Stress Echocardiography. Read more ... » Aortography Coronary angiographyCoronary Angiography -Indications of Coronary Arteriography (Angiography). Read more ... »
- TEE – transesophageal cardiography CT, MRI.
AORTIC DISSECTION Treatment
- For hypertension-antihypertensives like IV beta blockersMANAGEMENT of Acute Myocardial Infarction (AMI) -1. Read more ... », Verapamil, Diltiazem
- For hypotension – IV fluids
- Surgical correction
- Aortic grafts.
AORTIC OCCLUSION Atherosclerotic occlusive diseaseAlcoholic Cirrhosis Clinical features Physical findings Treatment. Read more ... »
- ClaudicationCYANOTIC CONGENITAL HEART DISEASE Coarctation of the Aorta with Clinical features. Read more ... » of back, hips, thighs-as in Leriche syndrome, in which there is occlusion of the aorta at ~he .origin of the .l!.@c arteries or the bifurcate
- Absence of pulses
- Cold lower limbs
- Occlusion can occur at other sites also.
- Thrombectomy Balloon angioplasty.
- Syphilitic aortitis
- Rheumatic aortitis
- Ankylosing spondylitis
- Reiter’s syndrome
- Takayasu arteritis
- Giant cell arteritisVasculitis Syndrome Causes Differential Diagnosis Symptoms and Treatment. Read more ... ».