Management of acute aortic syndromes from initial presentation to definitive treatment

Am J Emerg Med. 2022 Jan:51:108-113. doi: 10.1016/j.ajem.2021.10.016. Epub 2021 Oct 21.

Abstract

Background: Acute aortic syndromes comprise a spectrum of diseases including aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcers. Early diagnosis, rapid intervention, and multidisciplinary team care are vital to efficiently manage time-sensitive aortic emergencies, mobilize appropriate resources, and optimize clinical outcomes.

Objective: This comprehensive review outlines the multidisciplinary team approach from initial presentation to definitive interventional treatment and post-operative care.

Discussion: Acute aortic syndromes can be life-threatening and require prompt diagnosis and aggressive initiation of blood pressure and pain control to prevent subsequent complications. Early time to diagnosis and intervention are associated with improved outcomes.

Conclusions: A multidisciplinary team can help promptly diagnose and manage aortic syndromes.

Keywords: Aortic dissection; Aortic syndromes; Cardiac surgery; Vascular surgery.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Aortic Diseases / diagnosis*
  • Aortic Diseases / therapy
  • Aortic Dissection / diagnosis*
  • Aortic Dissection / therapy
  • Blood Pressure
  • Hematoma / diagnosis*
  • Hematoma / therapy
  • Humans
  • Pain Management
  • Patient Care Team
  • Syndrome
  • Thoracic Surgery
  • Ulcer / diagnosis*
  • Ulcer / therapy
  • Vascular Surgical Procedures