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Aortic rupture

MedGen UID:
8151
Concept ID:
C0003496
Disease or Syndrome
Synonyms: Aortic Rupture; Aortic Ruptures; Rupture, Aortic; Ruptures, Aortic
 
HPO: HP:0031649

Definition

Tearing of the aortic wall generally associated with profuse internal bleeding. [from HPO]

Conditions with this feature

Aortic aneurysm, familial thoracic 7
MedGen UID:
462427
Concept ID:
C3151077
Disease or Syndrome
Ehlers-Danlos syndrome, kyphoscoliotic type, 2
MedGen UID:
482790
Concept ID:
C3281160
Disease or Syndrome
FKBP14 kyphoscoliotic Ehlers-Danlos syndrome (FKBP14-kEDS) is characterized by congenital muscle hypotonia and weakness (typically improving during childhood), progressive scoliosis, joint hypermobility, hyperelastic skin, gross motor developmental delay, myopathy, and hearing impairment. Most affected children achieve independent walking between ages two and four years. A decline of motor function in adulthood may be seen, but affected individuals are likely to be able to participate in activities of daily living in adulthood and maintain independent walking. Occasional features underlying systemic connective tissue involvement include aortic rupture and arterial dissection, subdural hygroma, insufficiency of cardiac valves, bluish sclerae, bladder diverticula, inguinal or umbilical herniae, and premature rupture of membranes during pregnancy. Rarer findings may include bifid uvula with submucous or frank cleft palate, speech/language delay without true cognitive impairment, and rectal prolapse.

Professional guidelines

PubMed

Schibilsky D, Kondov S, Gottardi R, Kreibich M, Lehane C, Berger T, Beyersdorf F, Siepe M, Czerny M, Rylski B
Interact Cardiovasc Thorac Surg 2022 May 2;34(5):885-891. doi: 10.1093/icvts/ivab377. PMID: 35037937Free PMC Article
Thomas RP, Amin SS, Eldergash O, Kowald T, Bremer S, Easo J, Weymann A, Book M, Szczechowicz M, Schmuck B, Chavan A
Cardiovasc Intervent Radiol 2018 Sep;41(9):1318-1323. Epub 2018 Jun 12 doi: 10.1007/s00270-018-2006-0. PMID: 29948006
Setacci C, de Donato G, Setacci F
Semin Vasc Surg 2011 Dec;24(4):242-9. doi: 10.1053/j.semvascsurg.2011.10.009. PMID: 22230680

Recent clinical studies

Etiology

De Freitas S, D'Ambrosio N, Fatima J
Surg Clin North Am 2023 Aug;103(4):595-614. Epub 2023 Jun 9 doi: 10.1016/j.suc.2023.05.001. PMID: 37455027
Lo RC, Schermerhorn ML
J Vasc Surg 2016 Mar;63(3):839-44. Epub 2015 Dec 30 doi: 10.1016/j.jvs.2015.10.087. PMID: 26747679Free PMC Article
Singh A, Mehta Y
Ann Card Anaesth 2015 Oct-Dec;18(4):537-42. doi: 10.4103/0971-9784.166463. PMID: 26440240Free PMC Article
White A, Broder J, Mando-Vandrick J, Wendell J, Crowe J
Adv Emerg Nurs J 2013 Jan-Mar;35(1):28-52. doi: 10.1097/TME.0b013e31827145d0. PMID: 23364404
Sakalihasan N, Limet R, Defawe OD
Lancet 2005 Apr 30-May 6;365(9470):1577-89. doi: 10.1016/S0140-6736(05)66459-8. PMID: 15866312

Diagnosis

Tsai TT, Nienaber CA, Eagle KA
Circulation 2005 Dec 13;112(24):3802-13. doi: 10.1161/CIRCULATIONAHA.105.534198. PMID: 16344407
Avery JK
J Ark Med Soc 1998 Oct;95(5):203-4. PMID: 9796175
Ernst CB
N Engl J Med 1993 Apr 22;328(16):1167-72. doi: 10.1056/NEJM199304223281607. PMID: 8455684
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South Med J 1982 Jun;75(6):770. doi: 10.1097/00007611-198206000-00043. PMID: 7089636
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Therapy

Golledge J
Nat Rev Cardiol 2019 Apr;16(4):225-242. doi: 10.1038/s41569-018-0114-9. PMID: 30443031
Budtz-Lilly J, Wanhainen A, Mani K
J Cardiovasc Surg (Torino) 2018 Apr;59(2):180-189. Epub 2017 Dec 4 doi: 10.23736/S0021-9509.17.10332-0. PMID: 29206004
Steuer J, Lachat M, Veith FJ, Wanhainen A
Eur Heart J 2016 Jan 7;37(2):145-51. Epub 2015 Nov 4 doi: 10.1093/eurheartj/ehv593. PMID: 26543044
Weiss N, Rodionov RN, Mahlmann A
Vasa 2014 Nov;43(6):415-21. doi: 10.1024/0301-1526/a000388. PMID: 25339159
Hirsch AT, Haskal ZJ, Hertzer NR, Bakal CW, Creager MA, Halperin JL, Hiratzka LF, Murphy WR, Olin JW, Puschett JB, Rosenfield KA, Sacks D, Stanley JC, Taylor LM Jr, White CJ, White J, White RA, Antman EM, Smith SC Jr, Adams CD, Anderson JL, Faxon DP, Fuster V, Gibbons RJ, Hunt SA, Jacobs AK, Nishimura R, Ornato JP, Page RL, Riegel B; American Association for Vascular Surgery; Society for Vascular Surgery; Society for Cardiovascular Angiography and Interventions; Society for Vascular Medicine and Biology; Society of Interventional Radiology; ACC/AHA Task Force on Practice Guidelines Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease; American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; Vascular Disease Foundation
Circulation 2006 Mar 21;113(11):e463-654. doi: 10.1161/CIRCULATIONAHA.106.174526. PMID: 16549646

Prognosis

Lin CH, Li LY, Tsai SH, Lin CY, Yang CJ
Ann Emerg Med 2019 Sep;74(3):454-461. doi: 10.1016/j.annemergmed.2019.03.004. PMID: 31445547
Vitale J, Manfredini R, Gallerani M, Mumoli N, Eagle KA, Ageno W, Dentali F
Chronobiol Int 2015 Apr;32(3):385-94. Epub 2014 Nov 21 doi: 10.3109/07420528.2014.983604. PMID: 25414043
Booher AM, Eagle KA, Bossone E
Herz 2011 Sep;36(6):480-7. doi: 10.1007/s00059-011-3504-x. PMID: 21912914
Song JK
Herz 2011 Sep;36(6):488-97. doi: 10.1007/s00059-011-3501-0. PMID: 21887530
Ayling J
Emerg Med Serv 2003 Nov;32(11):37. PMID: 14658209

Clinical prediction guides

Sprynger M, Willems M, Van Damme H, Drieghe B, Wautrecht JC, Moonen M
Angiology 2019 May;70(5):407-413. Epub 2019 Jan 17 doi: 10.1177/0003319718824940. PMID: 30654619
Zafar MA, Li Y, Rizzo JA, Charilaou P, Saeyeldin A, Velasquez CA, Mansour AM, Bin Mahmood SU, Ma WG, Brownstein AJ, Tranquilli M, Dumfarth J, Theodoropoulos P, Thombre K, Tanweer M, Erben Y, Peterss S, Ziganshin BA, Elefteriades JA
J Thorac Cardiovasc Surg 2018 May;155(5):1938-1950. Epub 2017 Dec 6 doi: 10.1016/j.jtcvs.2017.10.140. PMID: 29395211
Nazerian P, Mueller C, Soeiro AM, Leidel BA, Salvadeo SAT, Giachino F, Vanni S, Grimm K, Oliveira MT Jr, Pivetta E, Lupia E, Grifoni S, Morello F; ADvISED Investigators
Circulation 2018 Jan 16;137(3):250-258. Epub 2017 Oct 13 doi: 10.1161/CIRCULATIONAHA.117.029457. PMID: 29030346
Lilja F, Wanhainen A, Mani K
J Cardiovasc Surg (Torino) 2017 Dec;58(6):848-853. Epub 2017 Jun 20 doi: 10.23736/S0021-9509.17.10064-9. PMID: 28633519
Elefteriades JA, Ziganshin BA
Semin Thorac Cardiovasc Surg 2016 Winter;28(4):776-782. Epub 2016 Oct 14 doi: 10.1053/j.semtcvs.2016.10.006. PMID: 28417864

Recent systematic reviews

Moulakakis KG, Karaolanis G, Antonopoulos CN, Kakisis J, Klonaris C, Preventza O, Coselli JS, Geroulakos G
J Vasc Surg 2018 Aug;68(2):634-645.e12. doi: 10.1016/j.jvs.2018.03.410. PMID: 30037680
Antoniou GA, Georgiadis GS, Antoniou SA, Neequaye S, Brennan JA, Torella F, Vallabhaneni SR
J Endovasc Ther 2015 Oct;22(5):734-44. Epub 2015 Aug 18 doi: 10.1177/1526602815601405. PMID: 26286073
Vitale J, Manfredini R, Gallerani M, Mumoli N, Eagle KA, Ageno W, Dentali F
Chronobiol Int 2015 Apr;32(3):385-94. Epub 2014 Nov 21 doi: 10.3109/07420528.2014.983604. PMID: 25414043
Azhar B, Patel SR, Holt PJ, Hinchliffe RJ, Thompson MM, Karthikesalingam A
J Endovasc Ther 2014 Aug;21(4):568-75. doi: 10.1583/13-4626MR.1. PMID: 25101588
De Rango P, Farchioni L, Fiorucci B, Lenti M
Eur J Vasc Endovasc Surg 2014 Mar;47(3):243-61. Epub 2014 Jan 18 doi: 10.1016/j.ejvs.2013.12.007. PMID: 24447529

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