Acute Aortic Syndromes: Update in Current Medical Management.
Advances in medical therapy and non-surgical percutaneous options to manage the specter of acute aortic syndromes have improved both patient morbidity and mortality. There are key features in the patient history and initial exam which physicians should be attuned to in order to diagnose acute aortic syndromes such as aortic dissection, penetrating aortic ulcer, and intramural hematoma. Once recognized, early initiation of the appropriate pharmacologic therapy is important, and further appreciating the limitations of such therapy before considering a surgical approach is critical to improve patient outcomes. For the undifferentiated patient with acute aortic dissection presenting to facilities who do not routinely manage this condition, adding pharmacologic agents in the correct sequence assures the best chance for a satisfactory outcome.
Division of Cardiology, Department of Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 679, Rochester, NY, 14642, USA.
Jacqueline H
JH
Morris
Division of Vascular Surgery, Department of Surgery, University of Rochester School of Medicine, Box CVRI, Rochester, NY, 14642, USA.
Doran
D
Mix
Division of Cardiology, Department of Medicine, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 679, Rochester, NY, 14642, USA. Scott_Cameron@URMC.Rochester.edu.|Aab Cardiovascular Research Institute, University of Rochester School of Medicine, Box CVRI, Rochester, NY, 14642, USA. Scott_Cameron@URMC.Rochester.edu.
Scott J
SJ
Cameron
Acute aortic syndrome; Non-surgical options; Therapy; Vascular disease