Thoracic Aortic Syndromes

Emerg Med Clin North Am. 2017 Nov;35(4):713-725. doi: 10.1016/j.emc.2017.06.002.


Aortic dissection (AD) is a lethal, treatable disruption of the aortic vessel wall. It often presents without classic features, mimicking symptoms of other conditions, and diagnosis is often delayed. Established high-risk markers of AD should be sought and indicate advanced aortic imaging with CT, MRI, or TEE. Treatment is immediate surgical evaluation, aggressive symptom relief, and reduction of the force of blood against the aortic wall by control of heart rate, followed by blood pressure.

Keywords: Aortic dissection; Aortic intramural hemorrhage; Penetrating aortic ulcer.

Publication types

  • Review

MeSH terms

  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Dissection / diagnosis*
  • Computed Tomography Angiography
  • Diagnostic Imaging / methods*
  • Echocardiography, Transesophageal
  • Humans
  • Magnetic Resonance Imaging
  • Syndrome