Aortic diseases – diagnosis, classification and management principles

Czech version

Authors: P. Gavornik ^1,2,3; A. Dukát ^1,3; Ľ. Gašpar ^1,2,3; D. Medová ^1,2; M. Čaprnda ^1,3
Authors‘ workplace: II. interná klinika LF UK a UN Bratislava ¹; Prvé angiologické pracovisko II. internej kliniky LF UK a UN Bratislava ²; Angiologická sekcia Slovenskej lekárskej komory ³
Published in: Kardiol Rev Int Med 2014, 16(6): 493-500
Category: Cardiology Review

Overview

In addition to organovascular arterial ischemic diseases (cardiovascular, angiovascular, neurovascular, limbovascular, renovascular, genitovascular, bronchopulmonarovascular, mesenteriointestinokolonovascular, osteoarthromusculovascular, dermovascular, oculovascular, otovascular, stomatovascular, etc.), aortic diseases contribute to the wide spectrum of arterial diseases: aortic aneurysms (AA), acute aortic syndromes (AAS) including aortic dissection (AD), intramural hematoma (IMH), penetrating atherosclerotic ulcer (PAU) and traumatic aortic injury (TAI), pseudoaneurysm, aortic rupture, atherosclerosis, vasculitis as well as genetic diseases (e. g. Turner syndrome, Marfan syndrome, Ehlers‑ Danlos syndrome) and congenital abnormalities including coarctation of the aorta (CoA). Similarly to other arterial diseases, aortic diseases may be diagnosed after a long period of subclinical development or they may have an acute presentation. Acute aortic syndrome is often the first sign of the disease, which needs rapid diagnosis and decision making to overcome the extremely poor prognosis. Key clinical‑ etiology‑ anatomy‑ pathophysiology (CEAP) diagnostic aspects and principles of aortic disease management are discussed in this document (the Vessels project).

Keywords:
aorta – thoracic aorta – abdominal aorta – aortic diseases – classification – diagnosis – management

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