Acute aortic syndromes in emergency departments

Souayah Ahmed, Chermiti Ines, Ghazali Hanène, Ben Turkia Héla, Chekir Mahbouba, Ngach Monia, Chiboun Sawsen, Souissi Sami

Abstract

Introduction: Acute aortic syndrome (AAS) is a modern term to describe interrelated emergency aortic
conditions with similar clinical characteristics and challenges. AAS includes aortic dissection, aortic intramural
hematoma, and penetrating ulcer of the aorta. They are an important differential diagnosis of acute coronary
syndrome.
Objective: The purpose of this article is to review the relevant variants of AAS presentations and diagnoses
through three case reports.
Conclusion: AAS refers to a heterogeneous group of conditions that cause a common set of signs and symptoms.
Prognosis is related to undelayed diagnosis and appropriate surgical repair in the case of proximal involvement
of the aorta; affection of distal segments of the aorta may call for individualized therapeutic approaches favoring
endovascular in the presence of low-perfusion or imminent rupture, or medical management