摘要
In recent years,there have been significant improvements in the management of acute aortic dissection,including screening,diagnosis,and surgical options.However,acute aortic dissection represents a serious cardiovascular disease associated with a high risk of early mortality and significant morbidity in those who emerge from the emergency phase.Considerable progress has been made in the last decade in improving our understanding of the pathophysiology of this disorder.The current classifications of acute aortic dissection have faced challenges.There is a growing scientific consensus in favor of a classification that integrates existing features based on both morphological and functional criteria.The location and size of the initial tear in the innermost layer of the aorta determine the main cause of the aortic dissection.This tear causes the middle layer of the aortic wall to rupture and affects the size of the effected area.It is crucial to determine the necessary course of action for the patient,which may involve emergency surgery,endovascular intervention,or the most appropriate conservative care.The management and monitoring of acute aortic dissection is a constantly evolving field of research.This review provides an overview of preventing,recognizing,and treating life-threatening acute aortic dissections.
