4.5 Article

Management of acute aortic syndromes from initial presentation to definitive treatment

Journal

AMERICAN JOURNAL OF EMERGENCY MEDICINE
Volume 51, Issue -, Pages 108-113

Publisher

W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ajem.2021.10.016

Keywords

Aortic syndromes; Aortic dissection; Cardiac surgery; Vascular surgery

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Acute aortic syndromes, including aortic dissection, intramural hematoma, and penetrating atherosclerotic ulcers, require early diagnosis and multidisciplinary team care to effectively manage and improve clinical outcomes. Rapid diagnosis and intervention are closely associated with improved results.
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. (c) 2021 Published by Elsevier Inc.

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