Aortic dissection causes: Difference between revisions

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| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| [[Aortic stenosis valvuloplasty#Complications|Aortic valve replacement surgery]],  [[cardiac catheterization]],  [[coronary artery bypass graft surgery]],  [[Stent|following implantation of stent graft]],  [[PCI complications: dissection|following use of intra-aortic balloon pump]],  [[Mitral valve replacement#Postoperative Complications/ Risks|mitral valve replacement surgery]],  [[Aortic coarctation surgery#Surgical Complications|surgical correction of aortic coarctation]]
|bgcolor="Beige"| [[Aortic stenosis valvuloplasty#Complications|Aortic valve replacement surgery]],  [[cardiac catheterization]],  [[coronary artery bypass graft surgery]],  [[Stent|following implantation of stent graft]],  [[Intra-aortic balloon pump#Monitoring for Complications|following use of intra-aortic balloon pump]],  [[Mitral valve replacement#Postoperative Complications/ Risks|mitral valve replacement surgery]],  [[Aortic coarctation surgery#Surgical Complications|surgical correction of aortic coarctation]]
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*[[Familial aortic dissection]]<ref name="Arbustini-2012">{{Cite journal  | last1 = Arbustini | first1 = E. | last2 = Narula | first2 = N. | title = Extra-aortic identifiers to guide genetic testing in familial thoracic aortic aneurysms and dissections syndromes: it is all about the company one keeps. | journal = J Am Coll Cardiol | volume = 60 | issue = 5 | pages = 404-7 | month = Jul | year = 2012 | doi = 10.1016/j.jacc.2012.03.032 | PMID = 22633652 }}</ref>
*[[Familial aortic dissection]]<ref name="Arbustini-2012">{{Cite journal  | last1 = Arbustini | first1 = E. | last2 = Narula | first2 = N. | title = Extra-aortic identifiers to guide genetic testing in familial thoracic aortic aneurysms and dissections syndromes: it is all about the company one keeps. | journal = J Am Coll Cardiol | volume = 60 | issue = 5 | pages = 404-7 | month = Jul | year = 2012 | doi = 10.1016/j.jacc.2012.03.032 | PMID = 22633652 }}</ref>
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Fibromuscular dysplasia]]
*[[Fibromuscular dysplasia]]
*[[Stent|Following implantation of stent graft]]<ref name="Angouras-2002">{{Cite journal  | last1 = Angouras | first1 = DC. | last2 = Michler | first2 = RE. | title = An alternative surgical approach to facilitate minimally invasive mitral valve surgery. | journal = Ann Thorac Surg | volume = 73 | issue = 2 | pages = 673-4 | month = Feb | year = 2002 | doi =  | PMID = 11845906 }}</ref>
*[[Stent|Following implantation of stent graft]]<ref name="Angouras-2002">{{Cite journal  | last1 = Angouras | first1 = DC. | last2 = Michler | first2 = RE. | title = An alternative surgical approach to facilitate minimally invasive mitral valve surgery. | journal = Ann Thorac Surg | volume = 73 | issue = 2 | pages = 673-4 | month = Feb | year = 2002 | doi =  | PMID = 11845906 }}</ref>
*[[PCI complications: dissection|Following use of intra-aortic balloon pump]]
*[[Intra-aortic balloon pump#Monitoring for Complications|Following use of intra-aortic balloon pump]]
*[[Giant cell arteritis]]
*[[Giant cell arteritis]]
*[[Exercise|Heavy exercise]]
*[[Exercise|Heavy exercise]]
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*[[Loeys-Dietz syndrome|Mutation of TGF-β receptor genes]]<ref name="Choi-2012">{{Cite journal  | last1 = Choi | first1 = JC. | last2 = LeMaire | first2 = SA. | title = Thoracic aortic dissection: genes, molecules, and the knife. | journal = Tex Heart Inst J | volume = 39 | issue = 6 | pages = 838-9 | month =  | year = 2012 | doi =  | PMID = 23304027 }}</ref>
*[[Loeys-Dietz syndrome|Mutation of TGF-β receptor genes]]<ref name="Choi-2012">{{Cite journal  | last1 = Choi | first1 = JC. | last2 = LeMaire | first2 = SA. | title = Thoracic aortic dissection: genes, molecules, and the knife. | journal = Tex Heart Inst J | volume = 39 | issue = 6 | pages = 838-9 | month =  | year = 2012 | doi =  | PMID = 23304027 }}</ref>
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Familial aortic dissection|Mutations in genes encoding α-actin and β-myosin]]<ref name="Choi-2012">{{Cite journal  | last1 = Choi | first1 = JC. | last2 = LeMaire | first2 = SA. | title = Thoracic aortic dissection: genes, molecules, and the knife. | journal = Tex Heart Inst J | volume = 39 | issue = 6 | pages = 838-9 | month =  | year = 2012 | doi =  | PMID = 23304027 }}</ref>
*[[Familial aortic dissection|Mutations in genes encoding α-actin and β-myosin]]<ref name="Choi-2012">{{Cite journal  | last1 = Choi | first1 = JC. | last2 = LeMaire | first2 = SA. | title = Thoracic aortic dissection: genes, molecules, and the knife. | journal = Tex Heart Inst J | volume = 39 | issue = 6 | pages = 838-9 | month =  | year = 2012 | doi =  | PMID = 23304027 }}</ref>
*[[Loeys-Dietz syndrome|Mutations in SMAD3]]<ref name="Choi-2012">{{Cite journal  | last1 = Choi | first1 = JC. | last2 = LeMaire | first2 = SA. | title = Thoracic aortic dissection: genes, molecules, and the knife. | journal = Tex Heart Inst J | volume = 39 | issue = 6 | pages = 838-9 | month =  | year = 2012 | doi =  | PMID = 23304027 }}</ref>
*[[Loeys-Dietz syndrome|Mutations in SMAD3]]<ref name="Choi-2012">{{Cite journal  | last1 = Choi | first1 = JC. | last2 = LeMaire | first2 = SA. | title = Thoracic aortic dissection: genes, molecules, and the knife. | journal = Tex Heart Inst J | volume = 39 | issue = 6 | pages = 838-9 | month =  | year = 2012 | doi =  | PMID = 23304027 }}</ref>

Revision as of 15:28, 11 August 2013

Aortic dissection Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Aortic dissection from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Special Scenarios

Management during Pregnancy

Case Studies

Case #1


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

Overview

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

Causes

Common Causes

Causes by Organ System

Cardiovascular Atherosclerosis, bicuspid aortic valve, hypertension, malignant hypertension, 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, following implantation of stent graft, following use of intra-aortic balloon pump, mitral valve replacement surgery, surgical correction of aortic coarctation
Infectious Disease Annuloaortic ectasia, aortitis, HIV, 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
Urologic No underlying causes
Miscellaneous Connective tissue disorders, heavy exercise, idiopathic

Causes in Alphabetical Order

References

  1. ↑ "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.
  2. ↑ 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)
  3. ↑ 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)
  4. ↑ 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)
  5. ↑ 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)
  6. ↑ "GANGLION-BLOCKING drugs and dissection of the aorta". Br Med J. 1 (4981): 1473–4. 1956. PMID 13316190. Unknown parameter |month= ignored (help)
  7. ↑ 7.0 7.1 7.2 7.3 Choi, JC.; LeMaire, SA. (2012). "Thoracic aortic dissection: genes, molecules, and the knife". Tex Heart Inst J. 39 (6): 838–9. PMID 23304027.
  8. ↑ 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.

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