Hellenic Journal of Surgery (2018) 90:2, 63-64 EDITORIAL The Spectrum of the Diseased Aortic Wall. Dissection and other Acute Aortic Syndromes... Kotsis TE From a holistic point of view, the most catastrophic subclavian artery, symptomatic patients or with intractable diseases involving the aortic wall are the acute aortic syn- pain or high arterial pressure need to be managed either by catheter based techniques or open surgery. dromes (AAS) which include the penetrating aortic ulcer (PAU), the intramural hematoma (IMH) and aortic dissec- On the other hand, isolated dissection of the abdominal aorta is rare; the reported rate of primary abdominal aortic tion (AD); the thoracic aorta is most frequently affected. The PAU is a localized form of aortic wall inner erosion dissection (AAD) is less than 2%, compared with that of the thoracic aorta. An interesting review concerning this where a crater is developed, and the IMH is a contained hematoma within the media, inside the tunica adventitia, entity is reported in the next pages of this journal ; in an extended search of the world literature, the authors found without obvious communication with the aortic lumen; that the AAD is observed more often in men than women intramural
Hellenic Journal of Surgery – Springer Journals
Published: Jun 4, 2018
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