Warner David L, Bhamidipati Castigliano M, Abraham Cherrie Z
Department of Surgery, 3181 SW Sam Jackson Park Road, Portland, OR 97239 USA.
Cardiac Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Portland, OR USA.
Indian J Thorac Cardiovasc Surg. 2022 Apr;38(Suppl 1):198-203. doi: 10.1007/s12055-022-01332-3. Epub 2022 Mar 9.
Acute aortic syndrome is a broad clinical entity that encompasses several pathologies. Aortic dissection is a well-studied disorder, but the other most prominent disorders within the scope of acute aortic syndrome, penetrating aortic ulcer and intramural hematoma, are more nebulous in terms of their pathophysiology and treatment strategies. While patient risk factors, presenting symptoms, and medical and surgical management strategies are similar to those of aortic dissection, there are indeed nuanced differences unique to penetrating aortic ulcer and intramural hematoma that surgeons and acute care providers must consider while managing patients with these diagnoses. The aim of this review is to summarize patient demographics, pathophysiology, workup, and treatment strategies that are unique to penetrating aortic ulcer and intramural hematoma.
急性主动脉综合征是一个涵盖多种病理状况的宽泛临床概念。主动脉夹层是一种研究充分的疾病，但急性主动脉综合征范围内的其他最突出疾病，即穿透性主动脉溃疡和壁内血肿，在病理生理学和治疗策略方面则更为模糊。虽然患者的风险因素、呈现的症状以及内科和外科治疗策略与主动脉夹层相似，但穿透性主动脉溃疡和壁内血肿确实存在细微的独特差异，外科医生和急症护理人员在管理患有这些诊断的患者时必须加以考虑。本综述的目的是总结穿透性主动脉溃疡和壁内血肿所特有的患者人口统计学特征、病理生理学、检查方法和治疗策略。
