Diagnosis and Management of Acute Aortic Syndrome: A Literature Review

Dedy Irawan (Brawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, University Brawijaya, Malang)
Novi Kurnianingsih (Brawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, University Brawijaya, Malang)
Djanggan Sargowo (Brawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, University Brawijaya, Malang)
Anna Fuji Rahimah (Brawijaya Cardiovascular Research Center, Department of Cardiology and Vascular Medicine, Faculty of Medicine, University Brawijaya, Malang)

Heart Science Journal
Vol 2, No 2 (2021): Dealing with Vascular Disease

Acute aortic syndrome (AAS) is a potentially fatal disease that involves acute disruption of the aortic wall is. Several conditions such as intramural hematoma (IMH), aortic dissection (AD), penetrating atherosclerotic ulcer (PAU), as well as high mortality rates, are associated with this disease. Hypertension is an important risk factor, and patients often present with pain. AAS may be challenging to be evaluated, as it has a pre-test probability and several diagnostic tests. Computed Tomography Angiography (CTA) is essential in managing AAS. The significance of prompt diagnosis and treatment of AAS is emphasized further by the current developments in imaging techniques and therapeutic interventions, which ultimately lead to raised vigilance of this disease. Management of AAS included initial medical therapy and definitive therapy. In A type AAS, surgical intervention is the definitive therapy, while type B is managed definitively by endovascular or medical treatment.Keyword: Diagnosis, management, acute aortic syndrome.