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editorial
. 2001 Apr;85(4):365–368. doi: 10.1136/heart.85.4.365

Acute aortic syndrome

I VILACOSTA, J A ROMAN
PMCID: PMC1729697  PMID: 11250953

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Figure 1  .

Figure 1  

Acute aortic syndrome (AAS). Arrows indicate the possible progression of each of these aortic lesions.

Figure 2  .

Figure 2  

Histological section (Mason's technique) from a patient with aortic dissection. Muscle is stained in red and collagen in green. The aortic media (stained in red) is partitioned in two (arrows); one forms part of the dissection flap, the other forms the outer wall of the false channel. Large arrow indicates the dissection flap. LF, false lumen; LV, true lumen.

Figure 3  .

Figure 3  

Anatomic specimen from a patient with type A aortic dissection. The entrance tear in the ascending aorta is clearly visible (arrow).

Figure 4  .

Figure 4  

Transoesophageal echocardiographic study illustrating the double channel aorta and dissection flap (left panel), and the entrance tear (arrow) in the ascending aorta (right panel). Transversal planes.

Figure 5  .

Figure 5  

Anatomical cross section of the descending thoracic aorta. The ostium of an intercostal artery sectioned by the dissecting haematoma is clearly visible. A small hole in the dissection flap will permit blood flow between false and true aortic lumens.

Figure 6  .

Figure 6  

Anatomical cross section of the ascending aorta. An intramural aortic haematoma can be observed (asterisk).

Figure 7  .

Figure 7  

Transoesophageal echocardiographic study of a patient with a dilated aorta (left panel) and a crescent shaped thickening (asterisk) of the anterolateral wall of the aortic root that corresponds to an aortic intramural haematoma. Transverse planes.

Figure 8  .

Figure 8  

Histological section (Mason's technique) of a patient with intramural haematoma. Splitting of the aortic media by a haematoma (asterisk) is well documented.

Figure 9  .

Figure 9  

Anatomical cross section of the descending thoracic aorta. A penetrating atherosclerotic aortic ulcer is indicated by an arrow.

Figure 10  .

Figure 10  

Transoesophageal echocardiographic study of a patient with an aortic ulcer (asterisk) in the descending thoracic aorta (AO). Longitudinal plane.

Figure 11  .

Figure 11  

Transoesophageal echocardiographic scans in a patient with a limited acute aortic dissection secondary to aortic ulceration. A thick, calcified, irregular flap can be seen. Longitudinal planes. Arrow, entrance tear, LF, false lumen, LV, true lumen.


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