Velarde-Acosta Kevin, Moscoso Ramirez Josh Yefry, Rojas Paol, Susanibar Lucy, Reusche Lady Diana Quintana, Cachicatari Angela, Baltodano-Arellano Roberto
Clinical Cardiology Department; Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú Clinical Cardiology Department Hospital Guillermo Almenara Irigoyen - EsSalud Lima Perú.
Interventional Cardiology Department; Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú Interventional Cardiology Department Hospital Guillermo Almenara Irigoyen - EsSalud Lima Perú.
Arch Peru Cardiol Cir Cardiovasc. 2024 Sep 29;5(3):143-152. doi: 10.47487/apcyccv.v5i3.410. eCollection 2024 Jul-Sep.
Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.
毛糙主动脉（SA）的特征是胸主动脉和腹主动脉存在严重且广泛的动脉粥样硬化疾病。这种退行性且危险的病理状况是多种可改变和不可改变的危险因素共同作用的结果。该病理状况的临床重要性取决于其病因发病机制可能引发的各种综合征，这在受影响的患者中会导致很高的发病率和死亡率。在本文档中，我们对这一实体进行了更新且详细的综述，阐述了其病理生理学、诊断方面（包括多模态成像的重要性）以及治疗方法。最后，我们介绍了SA患者在不同主动脉情况（主动脉夹层、溃疡斑块和血栓形成的动脉瘤）下的临床情况，这些情况表明了该疾病的性质及其高死亡率。
