Epidemiology of aortic dissection

Aortic dissection remains a highly morbid diagnosis. The treatment of aortic dissection has undergone several paradigm shifts since it was first understood. However, despite the robust research in treatment, the epidemiology of aortic dissection is limited. In this review, we discuss the historical...

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Bibliographic Details
Published in:Seminars in vascular surgery 2021-03, Vol.34 (1), p.10-17
Main Authors: Sen, Indrani, Erben, Young M., Franco-Mesa, Camila, DeMartino, Randall R.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aged, 80 and over
Aneurysm, Dissecting - diagnostic imaging
Aneurysm, Dissecting - epidemiology
Aneurysm, Dissecting - therapy
Aortic Aneurysm - diagnostic imaging
Aortic Aneurysm - epidemiology
Aortic Aneurysm - therapy
Female
Humans
Incidence
Male
Middle Aged
Quality of Life
Race Factors
Risk Assessment
Risk Factors
Sex Factors
Treatment Outcome
United States - epidemiology
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Summary:Aortic dissection remains a highly morbid diagnosis. The treatment of aortic dissection has undergone several paradigm shifts since it was first understood. However, despite the robust research in treatment, the epidemiology of aortic dissection is limited. In this review, we discuss the historical perspectives of aortic dissection with a review of risk factors and presentation. We review the trends in incidence during the past 40 years, with consideration for sex, race, and ethnicity in admission. We further focus our discussion of the classically described Type B aortic dissection treatment. Lastly, we review the impact of long-term events, readmissions, cost assessments, and quality of life studies of patients with aortic dissection. Care for those with aortic dissection remains a long-term challenge for providers and a multispecialty approach is needed for complete patient management.
ISSN:0895-7967
1558-4518
DOI:10.1053/j.semvascsurg.2021.02.003