Shaggy aorta: ideal substrate for disaster. Updated review

Kevin Velarde-Acosta; Josh Yefry Moscoso Ramirez; Paol Rojas; Lucy Susanibar; Lady Diana Quintana Reusche; Angela Cachicatari; Roberto Baltodano-Arellano

doi:10.47487/apcyccv.v5i3.410

Autores/as

Kevin Velarde-Acosta Clinical Cardiology Department; Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú https://orcid.org/0000-0001-9132-0445
Josh Yefry Moscoso Ramirez Clinical Cardiology Department; Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú https://orcid.org/0000-0002-1814-4630
Paol Rojas Clinical Cardiology Department; Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú; Interventional Cardiology Department; Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. https://orcid.org/0000-0002-2652-211X
Lucy Susanibar Clinical Cardiology Department; Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú. https://orcid.org/0000-0003-4269-4031
Lady Diana Quintana Reusche Clinical Cardiology Department; Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú. https://orcid.org/0009-0009-6217-9863
Angela Cachicatari Cardiac imaging area of Cardiology Department, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú. https://orcid.org/0000-0001-7908-5200
Roberto Baltodano-Arellano Cardiac imaging area of Cardiology Department, Hospital Guillermo Almenara Irigoyen – EsSalud, Lima, Perú; School of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Perú. https://orcid.org/0000-0002-7538-2125

DOI:

https://doi.org/10.47487/apcyccv.v5i3.410

Palabras clave:

Aorta, Atheroesclerosis, Pathology, Multimodal Imaging

Resumen

Shaggy aorta (SA) is characterized by a critical and extensive atheromatous disease of the thoracic and abdominal aorta. This degenerative and dangerous pathology is the result of the confluence of multiple modifiable and non-modifiable risk factors. The clinical importance of this pathology relies on the various syndromes that can develop from its etiopathogenesis, which generates great morbidity and mortality in the affected patients. In this document, we present an updated and detailed review of this entity, developing aspects of its pathophysiology, diagnosis, including the importance of multimodal imaging, and its therapeutic approach. Finally, we present the clinical settings of patients with SA in different aortic scenarios (aortic dissection, ulcerated plaques, and thrombosed aneurysms) that denote the nature of this disease and its high mortality.

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