Aortic dissection causes: Difference between revisions

	Aortic dissection Microchapters
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Revision as of 15:30, 1 April 2015

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]

Overview

Atherosclerosis and hypertension are associated with spontaneous aortic dissection, while blunt trauma and sudden deceleration in a motor vehicle accident are major causes of traumatic aortic dissection.

Causes

Life Threatening Causes

Aortic dissection is a life-threatening condition and must be treated as such irrespective of the causes. Life-threatening conditions may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Causes by Organ System

Cardiovascular	Atherosclerosis, bicuspid aortic valve, hypertension, malignant hypertension, Ruptured aortic arch with aberrant left subclavian artery, seat belt aorta, vasculitis
Chemical/Poisoning	No underlying causes
Dental	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	Methonium
Ear Nose Throat	No underlying causes
Endocrine	Cushing's syndrome
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	Aneurysms osteoarthritis syndrome, annuloaortic ectasia, bicuspid aortic valve, Ehlers-Danlos syndrome, Erdheim's cystic medial necrosis, familial aortic dissection, fibromuscular dysplasia, Loeys-Dietz syndrome, Marfan syndrome, mutation of TGF-β receptor genes, mutations in genes encoding α-actin and β-myosin, mutations in SMAD3, mutations in the gene encoding filamin A, Noonan syndrome, osteogenesis imperfecta, pseudoxanthoma elasticum, Turner syndrome
Hematologic	No underlying causes
Iatrogenic	Aortic valve replacement surgery, cardiac catheterization, coronary artery bypass graft surgery, implantation of stent graft, intra-aortic balloon pump, mitral valve replacement surgery, surgical correction of aortic coarctation
Infectious Disease	AIDS, annuloaortic ectasia, aortitis, syphilitic aortitis
Musculoskeletal/Orthopedic	Ehlers-Danlos syndrome, osteogenesis imperfecta
Neurologic	No underlying causes
Nutritional/Metabolic	Homocystinuria
Obstetric/Gynecologic	No underlying causes
Oncologic	No underlying causes
Ophthalmologic	No underlying causes
Overdose/Toxicity	Cocaine abuse
Psychiatric	No underlying causes
Pulmonary	No underlying causes
Renal/Electrolyte	Polycystic kidney disease
Rheumatology/Immunology/Allergy	Aortitis, arteritis, Behçet's disease, giant cell arteritis, rheumatoid arthritis, scleroderma, systemic lupus erythematosus, Takayasu arteritis, vasculitis
Sexual	No underlying causes
Trauma	Chest trauma, deceleration injuries, motor vehicle accident, seat belt aorta
Urologic	No underlying causes
Miscellaneous	Connective tissue disorders, heavy exercise, idiopathic

Causes in Alphabetical Order

3

References

↑ Brooke V, Goswami S, Mohanty A, Kasi PM (2012). "Aortic dissection and renal failure in a patient with severe hypothyroidism". Case Rep Med. 2012: 842562. doi:10.1155/2012/842562. PMC 3399550. PMID 22829842.
↑ "Classification of diabetic retinopathy from fluorescein angiograms. ETDRS report number 11. Early Treatment Diabetic Retinopathy Study Research Group". Ophthalmology. 98 (5 Suppl): 807–22. 1991. PMID 2062514.
↑ Shen, YZ.; Song, W.; Lu, HZ. (2012). "Type I aortic dissection in a patient with human immunodeficiency virus infection". Biosci Trends. 6 (3): 143–6. PMID 22890163. Unknown parameter |month= ignored (help)
↑ Mohr, FW.; Falk, V.; Diegeler, A.; Walther, T.; van Son, JA.; Autschbach, R. (1998). "Minimally invasive port-access mitral valve surgery". J Thorac Cardiovasc Surg. 115 (3): 567–74, discussion 574-6. PMID 9535444. Unknown parameter |month= ignored (help)
↑ Akgullu C, Hekim T, Eryilmaz U, Kurtoğlu T, Gürcün U (2013). "Spontaneous retrograde dissection of the ascending aorta in a patient with a bicuspid aortic valve". Cardiovasc J Afr. 24 (5): e8–10. doi:10.5830/CVJA-2013-036. PMID 24217212.
↑ ^6.0 ^6.1 ^6.2 Jänisch S, Turmanov N, Albrecht UV, Fieguth A, Günther D (2010). "[Aortic dissection - a not so rare disease]". Med Klin (Munich). 105 (12): 871–5. doi:10.1007/s00063-010-1151-2. PMID 21240585.
↑ Morais P, Mota A, Eloy C, Lopes JM, Torres F, Palmeiro A; et al. (2011). "Vascular Ehlers-Danlos syndrome: a case with fatal outcome". Dermatol Online J. 17 (4): 1. PMID 21549076.
↑ Arbustini, E.; Narula, N. (2012). "Extra-aortic identifiers to guide genetic testing in familial thoracic aortic aneurysms and dissections syndromes: it is all about the company one keeps". J Am Coll Cardiol. 60 (5): 404–7. doi:10.1016/j.jacc.2012.03.032. PMID 22633652. Unknown parameter |month= ignored (help)
↑ Angouras, DC.; Michler, RE. (2002). "An alternative surgical approach to facilitate minimally invasive mitral valve surgery". Ann Thorac Surg. 73 (2): 673–4. PMID 11845906. Unknown parameter |month= ignored (help)
↑ Martin CA, Clowes VE, Cooper JP (2014). "Loeys-Dietz syndrome: life threatening aortic dissection diagnosed on routine family screening". BMJ Case Rep. 2014. doi:10.1136/bcr-2013-203063. PMID 24495977.
↑ Di Eusanio M, Berretta P, Folesani G, Di Bartolomeo R (2013). "[Aortic disease in Marfan syndrome: current role of surgery and thoracic endovascular aortic repair]". G Ital Cardiol (Rome). 14 (7–8): 538–47. doi:10.1714/1308.14462. PMID 23877551.
↑ "GANGLION-BLOCKING drugs and dissection of the aorta". Br Med J. 1 (4981): 1473–4. 1956. PMID 13316190. Unknown parameter |month= ignored (help)
↑ ^13.0 ^13.1 ^13.2 ^13.3 Choi, JC.; LeMaire, SA. (2012). "Thoracic aortic dissection: genes, molecules, and the knife". Tex Heart Inst J. 39 (6): 838–9. PMID 23304027.
↑ Gignon, M.; Defouilloy, C.; Montpellier, D.; Chatelain, D.; Traulle, S.; Ammirati, C.; Jarde, O.; Manaouil, C. (2011). "Sudden death caused by aortic dissection in a patient with polycystic kidney disease". Genet Couns. 22 (4): 333–9. PMID 22303792.
↑ Mavroudis CD, Copelan A, Sokhandon F, Altshuler J (2014). "Hybrid repair of a ruptured right-sided aortic arch with an aberrant left subclavian artery arising from a diverticulum of Kommerell: a case report". World J Pediatr Congenit Heart Surg. 5 (4): 623–6. doi:10.1177/2150135114544754. PMID 25324268.
↑ Hornez E, Bourgouin S, Baudoin Y, Prunet B, Monchal T, Schlienger G; et al. (2011). "[Management of seat-belt aorta in severe polytrauma: a review]". J Mal Vasc. 36 (4): 237–42. doi:10.1016/j.jmv.2011.05.002. PMID 21684701.
↑ Pleskacova J, Rucklova K, Popelova J, Cerny S, Syrucek M, Snajderova M; et al. (2010). "Aortic dissection and rupture in a 16-year-old girl with Turner syndrome following previous progression of aortic dilation". Eur J Pediatr. 169 (10): 1283–6. doi:10.1007/s00431-010-1197-4. PMID 20396914.

Template:WH Template:WS

[pmid22829842-1] Brooke V, Goswami S, Mohanty A, Kasi PM (2012). "Aortic dissection and renal failure in a patient with severe hypothyroidism". Case Rep Med. 2012: 842562. doi:10.1155/2012/842562. PMC 3399550. PMID 22829842.

[pmid2062514-2] "Classification of diabetic retinopathy from fluorescein angiograms. ETDRS report number 11. Early Treatment Diabetic Retinopathy Study Research Group". Ophthalmology. 98 (5 Suppl): 807–22. 1991. PMID 2062514.

[Shen-2012-3] Shen, YZ.; Song, W.; Lu, HZ. (2012). "Type I aortic dissection in a patient with human immunodeficiency virus infection". Biosci Trends. 6 (3): 143–6. PMID 22890163. Unknown parameter |month= ignored (help)

[Mohr-1998-4] Mohr, FW.; Falk, V.; Diegeler, A.; Walther, T.; van Son, JA.; Autschbach, R. (1998). "Minimally invasive port-access mitral valve surgery". J Thorac Cardiovasc Surg. 115 (3): 567–74, discussion 574-6. PMID 9535444. Unknown parameter |month= ignored (help)

[pmid24217212-5] Akgullu C, Hekim T, Eryilmaz U, Kurtoğlu T, Gürcün U (2013). "Spontaneous retrograde dissection of the ascending aorta in a patient with a bicuspid aortic valve". Cardiovasc J Afr. 24 (5): e8–10. doi:10.5830/CVJA-2013-036. PMID 24217212.

[pmid21240585-6] 6.0 ^6.1 ^6.2 Jänisch S, Turmanov N, Albrecht UV, Fieguth A, Günther D (2010). "[Aortic dissection - a not so rare disease]". Med Klin (Munich). 105 (12): 871–5. doi:10.1007/s00063-010-1151-2. PMID 21240585.

[pmid21549076-7] Morais P, Mota A, Eloy C, Lopes JM, Torres F, Palmeiro A; et al. (2011). "Vascular Ehlers-Danlos syndrome: a case with fatal outcome". Dermatol Online J. 17 (4): 1. PMID 21549076.

[Arbustini-2012-8] Arbustini, E.; Narula, N. (2012). "Extra-aortic identifiers to guide genetic testing in familial thoracic aortic aneurysms and dissections syndromes: it is all about the company one keeps". J Am Coll Cardiol. 60 (5): 404–7. doi:10.1016/j.jacc.2012.03.032. PMID 22633652. Unknown parameter |month= ignored (help)

[Angouras-2002-9] Angouras, DC.; Michler, RE. (2002). "An alternative surgical approach to facilitate minimally invasive mitral valve surgery". Ann Thorac Surg. 73 (2): 673–4. PMID 11845906. Unknown parameter |month= ignored (help)

[pmid24495977-10] Martin CA, Clowes VE, Cooper JP (2014). "Loeys-Dietz syndrome: life threatening aortic dissection diagnosed on routine family screening". BMJ Case Rep. 2014. doi:10.1136/bcr-2013-203063. PMID 24495977.

[pmid23877551-11] Di Eusanio M, Berretta P, Folesani G, Di Bartolomeo R (2013). "[Aortic disease in Marfan syndrome: current role of surgery and thoracic endovascular aortic repair]". G Ital Cardiol (Rome). 14 (7–8): 538–47. doi:10.1714/1308.14462. PMID 23877551.

[-1956-12] "GANGLION-BLOCKING drugs and dissection of the aorta". Br Med J. 1 (4981): 1473–4. 1956. PMID 13316190. Unknown parameter |month= ignored (help)

[Choi-2012-13] 13.0 ^13.1 ^13.2 ^13.3 Choi, JC.; LeMaire, SA. (2012). "Thoracic aortic dissection: genes, molecules, and the knife". Tex Heart Inst J. 39 (6): 838–9. PMID 23304027.

[Gignon-2011-14] Gignon, M.; Defouilloy, C.; Montpellier, D.; Chatelain, D.; Traulle, S.; Ammirati, C.; Jarde, O.; Manaouil, C. (2011). "Sudden death caused by aortic dissection in a patient with polycystic kidney disease". Genet Couns. 22 (4): 333–9. PMID 22303792.

[pmid25324268-15] Mavroudis CD, Copelan A, Sokhandon F, Altshuler J (2014). "Hybrid repair of a ruptured right-sided aortic arch with an aberrant left subclavian artery arising from a diverticulum of Kommerell: a case report". World J Pediatr Congenit Heart Surg. 5 (4): 623–6. doi:10.1177/2150135114544754. PMID 25324268.

[pmid21684701-16] Hornez E, Bourgouin S, Baudoin Y, Prunet B, Monchal T, Schlienger G; et al. (2011). "[Management of seat-belt aorta in severe polytrauma: a review]". J Mal Vasc. 36 (4): 237–42. doi:10.1016/j.jmv.2011.05.002. PMID 21684701.

[pmid20396914-17] Pleskacova J, Rucklova K, Popelova J, Cerny S, Syrucek M, Snajderova M; et al. (2010). "Aortic dissection and rupture in a 16-year-old girl with Turner syndrome following previous progression of aortic dilation". Eur J Pediatr. 169 (10): 1283–6. doi:10.1007/s00431-010-1197-4. PMID 20396914.

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[2]

@@ Line 21: / Line 21: @@
 {|style="width:80%; height:100px" border="1"
 |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
-|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Atherosclerosis]], [[bicuspid aortic valve]], [[hypertension]], [[malignant hypertension]], [[seat belt aorta]], [[vasculitis]]
+|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Atherosclerosis]], [[bicuspid aortic valve]], [[hypertension]], [[malignant hypertension]], [[aberrant subclavian artery|Ruptured aortic arch with aberrant left subclavian artery]], [[seat belt aorta]], [[vasculitis]]
 |-
 |-bgcolor="LightSteelBlue"