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Critical Care of Children with Heart Disease pp 447–451Cite as

Aortic Dissection

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Abstract

Spontaneous aortic dissection (AoD) is a rare, life-threatening disease, yet it is the most common catastrophe of the aorta with a high mortality rate of 22–24% (Januzzi et al., J Am Coll Cardiol 43:665–669, 2004). Nontraumatic rupture of an aortic dissection can occur in patients without risk factors. However, there is a higher prevalence in patient populations with risk factors such as dilation of the aorta, connective tissue disorders, vasculitides, and other systemic conditions affecting the aorta. Patients under 40 years of age have a unique set of risk factors for aortic dissection compared to older patients: Marfan syndrome, bicuspid aortic valve, and larger aortic dimensions (Januzzi et al., J Am Coll Cardiol 43:665–669, 2004). The mortality in the younger group of patients is similar to that of the older group. A dramatic improvement has been observed in survival rates of patients with aortic dissections due to increased awareness, improved diagnostic modalities, and advances in operative repair and postoperative surveillance.

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Author information

Authors and Affiliations

  1. Pediatrics and Critical Care Medicine, Cardiac Intensive Care Unit, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Yuliya A. Domnina

  2. Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Monique M. Gardner

  3. Department of Pediatric Cardiothoracic Surgery, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Victor O. Morell

Authors
  1. Yuliya A. Domnina
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  2. Monique M. Gardner
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  3. Victor O. Morell
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Corresponding author

Correspondence to Yuliya A. Domnina .

Editor information

Editors and Affiliations

  1. Chief, Division of Cardiac Critical Care Medicine Executive Director, Telemedicine Co-director, Children’s National Heart Institute, Professor of Pediatrics, George Washington University School of Medicine, Children’s National Health System, Washington, DC, USA

    Ricardo A. Munoz

  2. Department of Pediatric Cardiothoracic Surgery, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Victor O. Morell

  3. Associate Medical Director, CHCO Heart Institute Head, Pediatric Cardiac Critical Care Program & Inpatient Services Director, Cardiac Intensive Care Unit Children’s Hospital Colorado, Tenured Professor of Pediatrics, Pediatric Cardiology and Intensive Care University of Colorado Denver, School of Medicine, Aurora, CO, USA

    Eduardo M. da Cruz

  4. Department of Pharmacy, Pediatric Critical Care, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Carol G. Vetterly

  5. Department of Pediatric Cardiothoracic Surgery, UPMC – Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Jose Pedro da Silva

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Domnina, Y.A., Gardner, M.M., Morell, V.O. (2020). Aortic Dissection. In: Munoz, R., Morell, V., da Cruz, E., Vetterly, C., da Silva, J. (eds) Critical Care of Children with Heart Disease . Springer, Cham. https://doi.org/10.1007/978-3-030-21870-6_41

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  • DOI: https://doi.org/10.1007/978-3-030-21870-6_41

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21869-0

  • Online ISBN: 978-3-030-21870-6

  • eBook Packages: MedicineMedicine (R0)

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