Enfermedades de la aorta

  1. Hernando, F.J. Serrano
  2. López, I. Martínez
  3. Suero, S. Revuelta
  4. Mateo, M. Hernández
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2017

Título del ejemplar: Enfermedades cardiológicas (VII) Enfermedades vasculares

Serie: 12

Número: 41

Páginas: 2419-2432

Tipo: Artículo

DOI: 10.1016/J.MED.2017.09.010 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Resumen En esta actualización se realiza una puesta al día sobre la patología de la aorta torácica y abdominal, incluyendo las más recientes modificaciones en las indicaciones y en los métodos de tratamiento actuales. Las enfermedades de la aorta constituyen una patología frecuente y habitualmente grave que incluye un amplio espectro de enfermedades como los aneurismas, el síndrome aórtico agudo, lesiones traumáticas, enfermedades genéticas, inflamatorias y patología congénita. El conocimiento de cada una de estas patologías es de la mayor importancia ya que, por un lado, los síndromes aórticos agudos con frecuencia requieren toma de decisiones precisas y adecuadas para obtener el mejor resultado clínico. Por otro lado, un gran número de enfermedades aórticas, especialmente los aneurismas, pueden cursar de forma asintomática, por lo que el diagnóstico y una correcta indicación terapéutica serán fundamentales para reducir la mortalidad.

Referencias bibliográficas

  • Vilacosta I, San Roman JA. Acute aortic syndrome. Heart. 2001;85:365-8.
  • Evangelista A. Avances en el síndrome aórtico agudo. Rev Esp Cardiol. 2007;60:428-39.
  • Erbel R, Aboyas V, Boileau C, Bossone E, Di Bartolomeo R, Eggebrecht H. Guía ESC 2014 sobre diagnóstico y tratamiento de la patología de la aorta. Rev Esp Cardiol. 2015;68:242.e1-e69.
  • Reul GJ, Cooley DA, Hallman GL, Reddy SB, Kyger ER 3rd, Wukasch DC. Dissecting aneurysm of the descending aorta. Improved surgical results in 91 patients. Arch Surg. 1975;110:632-40.
  • Roberts WC. Aortic dissection: anatomy, consequences and causes. Am Heart J. 1981;101:195-214.
  • Quint LE, Williams DM, Francis IR, Monaghan HM, Sonnad SS, Patel S. Ulcerlike lesions of the aorta: imaging features and natural history. Radiology. 2001;218:719-23.
  • Stanson AW, Kazmier FJ, Hollier LH, Edwards WD, Pairolero PC, Sheedy PF. Penetrating atherosclerotic ulcers of the thoracic aorta: natural history and clinicopathologic correlations. Ann Vasc Surg. 1986;1:15-23.
  • Suzuki T, Mehta R, Ince H, Nagai R, Sakomura Y, Weber F. Clinical profiles and outcomes of acute type B aortic dissection in the current era: lessons from the International Registry of Aortic Dissection (IRAD). Circulation. 2003;108SupplII:II312-7.
  • Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management: Part I: from etiology to diagnostic strategies. Circulation. 2003;108:628-35.
  • Hagan P, Nienaber Ch, Isselbacher E, Bruckman D, Karavite D, Evangelista A. The International Registry of Acute Aortic Dissection (IRAD). New insights into an old disease. JAMA. 2000;283:897-903.
  • Evangelista A. Historia natural y tratamiento del síndrome aórti-co agudo. Rev Esp Cardiol. 2004;57:667-79.
  • Tsai TT, Fattori R, Trimarchi S, Isselbacher E, Myrmel T, Evangelista A. Long term survival in patients presenting with type B acute aortic dissection. Insights from the IRAD. Circulation. 2006;114:2226-31.
  • Evangelista A, Czerny M, Nienaber C, Schepens M, Rousseaue H, Cao P. Interdisciplinary expert consensus on management of type B intramural haematoma and penetrating aortic ulcer. Eur J Cardiothorac Surg. 2015;45:209-17.
  • Coady MA, Rizzo JA, Hammond GL, Pierce JG, Kopf GS, Elefteriades JA. Penetrating ulcer of the thoracic aorta: what is it? How do we recognize it? How do we manage it? J Vasc Surg. 1998;27:1006-15.
  • Nathan DP, Boonn W, Lai E, Wang GJ, Desai N, Woo EY. Presentation, complications, and natural history of penetrating atherosclerotic ulcer disease. J Vasc Surg. 2012;55:10-5.
  • Ganaha F, Miller DC, Sugimoto K, Do YS, Minamiguchi H, Saito H. Prognosis of aortic intramural hematoma with and without penetrating atherosclerotic ulcer: a clinical and radiological analysis. Circulation. 2002;106:342-8.
  • Fattori R, Montgomery D, Lovato L, Kische S, Di Eusanio M, Ince H. Survival after endovascular therapy in patients with type B aortic dissection: a report from the International Registry of Acute Aortic Dissection (IRAD). JACC Cardiovasc Interv. 2013;6: 876-82.
  • Bossone E, Rampoldi V, Nienaber C, Trimarchi S, Ballotta A, Cooper J. International registry of acute aortic dissection. Usefulness of pulse deficit to predict in hospital complications and mortality in patients with acute type A aortic dissection. Am J Cardiol. 2002;89:851-5.
  • Heijmen RH, Thompson MM, Fattori R, Goktay Y, Teebken OE, Orend KH. Valiant thoracic stentgraft deployed with the new Captivia delivery system: procedural and 30 day results of the Valiant Captivia registry. J Endovasc Ther. 2012;19:213-25.
  • Patatas K, Shrivastava V, Ettles DF. Penetrating atherosclerotic ulcer of the aorta: A continuing debate. Clinical Radiology. 2013;68:753-9.
  • Chaer RA, Vasoncelos R, Marone LK, Al-Khoury G, RheeRY, ChoJS. Synchronous and metachronous thoracic aneurysms in patients with abdominal aortic aneurysms. J Vasc Surg. 2012;56:1261-5.
  • Crawford ES, Crawford JL, Safi HJ, Coselli JS, Hess KR, Brooks B. Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining inmediate and long term results of operations in 605 patients. J Vasc Surg. 1986;3:389-404.
  • Clouse WD, Hallet JV, Schaff HV, Gayari MM, Ilstrup DM, Melton LJ. Improved prognosis of thoracic aortic aneurysms: a population based study. JAMA. 1998;280:1926-9.
  • Perko MJ, Nørgaard M, Herzog TM, Olsen PS, Schroeder TV, Pettersson G. Unoperated aortic aneurysm: a survey of 170 patients. Ann Thorac Surg. 1995;59:1204-9.
  • Estrera AL, Jan A, Sandhu H, Shalhub S, Medina-Castro M, Nguyen TC. Outcomes of open repair for chronic descending thoracic aortic dissection. Ann Thorac Surg. 2015;99:786-93.
  • Jovin IS, Duggal M, Ebisu K, Paek H, Oprea AD, Tranquilli M. Comparison of the effect on longterm outcomes in patients with thoracic aortic aneurysms of taking versus not taking a statin drug. Am J Cardiol. 2012;109:1050-4.
  • Stein LH, Berger J, Tranquilli M, Elefteraides JA. Effect of statin drugs on thoracic aortic aneurysms. Am J Cardiol. 2013;112:1240-5.
  • Walsh SR, Tang TY, Sadat U, Naik J, Gaunt ME, Boyle JR. Endovascular stenting versus OR for thoracic aortic disease: systematic review and meta-analysis of perioperative results. J Vasc Surg. 2008;47: 1094-8.
  • Riambau V, Böckler D, Brunkwall J, Cao P, Chiesa R, Coppi G. Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2017;53(1): 4-52.
  • Schermerhorn ML, Buck DB, O’Malley AJ, Curran T, McCallum JC, Darling J. Long Term Outcomes of Abdominal Aortic Aneurysm in the Medicare Population. N Engl J Med. 2015;23:373(4): 328-38.
  • Ailawadi G, Eliason JL, Upchurch GR Jr. Current concepts in the pathogenesis of abdominal aortic aneurysm. J Vasc Surg. 2003;38: 584-8.
  • Wilmink AB, Quick CR. Epidemiology and potential for prevention of abdominal aortic aneurysm. Br J Surg. 1998;85:155.
  • Multicentre Aneurysm Screening Study Group. The Multicentre Aneurysm Screening Study (MASS) into the effect of abdominal aortic aneurysm screening on mortality in men: a randomised controlled trial. The Lancet. 2002;360:1531-9.
  • Svensjö S, Björck M, Gürtelschmid M. Low prevalence of abdominal aortic aneurysm among 65 year old Swedish men indicates a change in the epidemiology of the disease. Circulation. 2011;124: 1118-23.
  • Brewster DC, Cronenwett JL, Hallett JW, Johnston KW, Krupski WC, Matsumura JS. Guidelines for the treatment of abdomi-nal aortic aneurysms. Report of a subcommittee of the Joint Council of the American Association for Vascular Surgery and Society for Vascular Surgery. J Vasc Surg. 2003;37(5):1106-17.
  • Lindholt JS, Norman P. Screening for abdominal aortic aneurysm reduces over all mortality in men: a meta-analysis of the mid- and long term effects of screening for abdominal aortic aneurysms. Eur J Vasc Endovasc Surg. 2008;36:167-71.
  • Chaikof E, Brewster D, Dalman R, Makaroun M, Illig K, Sicard G. The care of patients with an abdominal aortic aneurysm: The Society of Vascular Surgery practice guidelines. J Vasc Surg. 2009;50:S8.
  • Moll F, Powell JT, Verzini F, Haulon S, Waltham M, van Herwaarden J. Management of abdominal aortic aneurysms: Clinical Practice Guidelines of the European Society of Vascular Surgery. Eur J Vasc Endovasc Surg. 2011;41:S1-S58.
  • Lederle FA, Wilson SE, Johnson GR, Reinke DB, Littooy FN, Acher CW. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med. 2002;346:1437-44.
  • Chaikof EL, Blankensteijn JD, Harris PL, White GH, Zarins CK, Bernhard VM. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg. 2002;35(5):1048-60.
  • Schanzer A, Greenberg RK, Hevelone N, Robinson WP, Eslami MH, Goldberg RJ. Predictors of abdominal aortic aneurysm sac enlargement after endovascular repair. Circulation. 2011;123(24): 2848-55.
  • The United Kingdom EVAR Trial Investigators. Endovascular versus open repair of abdominal aortic aneurysm. N Engl J Med. 2010;362:1863-71.
  • De Bruin JL, Baas AF, Buth J, Prinssen M, Verhoeven EL, Cuypers PW. Long term outcome of open or endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2010;362:1881-9.
  • Lederle FA, Freischlag JA, Kyriakides TC, Matsumura JS, Padberg FT, Kohler TR. Long term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med. 2012; 367:1988-97.
Fuente de los datos: Dialnet