Cardiology Division, Antonio Cardarelli Hospital, Via A. Cardarelli 9, Naples I-80131, Italy.
IRCCS SDN, Via Gianturco 113, Naples I-80142, Italy.
Heart Fail Clin. 2020 Jul;16(3):305-315. doi: 10.1016/j.hfc.2020.03.002.
Acute aortic syndromes are life-threatening medical conditions that include classic acute aortic dissection (AAD), aortic intramural hematoma, penetrating aortic ulcer, and even aortic pseudoaneurysm and traumatic aortic injury. The European Society of Cardiology has designed a multiparametric diagnostic algorithm to provide stepwise diagnosis. All patients with AAD should receive aggressive medical therapy to control blood pressure and heart rate. Urgent surgical repair is recommended for type A AAD. Uncomplicated type B AAD requires aggressive medical therapy. In contrast thoracic endovascular repair is recommended for complicated type B. AAD should be considered a lifelong disease that affects the entire aorta.
急性主动脉综合征是危及生命的医学病症，包括经典的急性主动脉夹层（AAD）、主动脉壁内血肿、穿透性主动脉溃疡，甚至主动脉假性动脉瘤和创伤性主动脉损伤。欧洲心脏病学会设计了一个多参数诊断算法，提供逐步诊断。所有 AAD 患者均应接受积极的药物治疗以控制血压和心率。建议对 A 型 AAD 进行紧急手术修复。对于单纯性 B 型 AAD，建议进行积极的药物治疗。相反，对于复杂的 B 型 AAD，建议进行胸主动脉腔内修复。AAD 应被视为影响整个主动脉的终身疾病。
