Heart 2001;85:365-368 ( April )

Editorial

Acute aortic syndrome

The first 150 words of the full text of this article appear below.

Although the chest pain of acute aortic dissection is widely recognised, less consideration has been given to pain associated with other aortic pathologies. In light of contemporary concepts in aortic pathology we would like to present the pathology of a new cardiovascular syndromeacute aortic syndrome (AAS).¹

This syndrome embraces a heterogeneous group of patients with a similar clinical profile that includes penetrating atherosclerotic aortic ulcer, intramural aortic haematoma, and the classic aortic dissection (fig 1). The physiopathological mechanism that precipitates the appearance of each of these entities is different. However, occasionally some patients exhibit several or all of these lesions, demonstrating the existence of a link between them. In such cases it is difficult to know which was the initiating event.

Figure Removed (Available Only in the Full Text)

AAS is characterised clinically by aortic pain in a patient with a coexisting history of hypertension. In acute coronary syndromes, the existence of a typical chest pain . . . [Full text of this article]

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