131:
22:
244:
264:
Vessels and organs that are perfused from a false lumen may be well-perfused to varying degrees, from normal perfusion to no perfusion. In some cases, little to no end-organ damage or failure may be seen. Similarly, vessels and organs perfused from the true lumen but distal to the dissection may be
606:
185:
or passages within the vessel, the original or true lumen, and the false lumen created by the new space within the wall of the artery. It is not yet clear if the tear in the innermost layer, the
359:
As a disease family, arterial dissections share common features, including shared genetic risk variants, and commonly perturbed molecular pathways. This includes dysfunction of the
265:
perfused to varying degrees. In the above example, if the aortic dissection extended from proximal to the left subclavian artery takeoff to the mid descending
664:
1237:
307:
1009:
39:
1014:
431:"Vein wall dissection: a rare puncture-related complication of brachiocephalic fistula. Gray-scale and color Doppler sonographic findings"
105:
86:
1164:
781:
58:
534:"Pulmonary artery dissection: an emerging cardiovascular complication in surviving patients with chronic pulmonary hypertension"
796:
657:
166:, which allows blood to separate the wall layers. There are several types. Tears almost always occur in arterial walls, but a
1115:
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to the origin of the dissection, then the left subclavian would be said to be perfused by the false lumen, while the
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999:
974:
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Bax M, Romanov V, Junday K, Giannoulatou E, Martinac B, Kovacic JC, Liu R, Iismaa SE, Graham RM (2022).
1304:
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610:
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289:
218:
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145:
138:
1090:
739:
553:
545:
504:
494:
442:
340:
317:
201:. It is thought that dysfunction in the vasa vasorum is an underlying cause of dissections.
150:
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912:
867:
747:
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182:
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would be perfused from the true lumen distal to the dissection but would be at risk for
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1004:
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900:
811:
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330:
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Arterial dissections become life-threatening when growth of the false lumen prevents
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462:
1340:
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1067:
757:
700:
642:
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to the dissection, would be perfused by the true lumen proximal to the dissection.
221:
198:
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174:
130:
630:
1405:
801:
21:
1321:
1311:
1272:
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499:
1075:
816:
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708:
691:
686:
549:
210:
567:
518:
454:
430:
1289:
891:
828:
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713:
533:
388:
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360:
233:
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have all been implicated in at least two types of arterial dissection.
400:
243:
532:
Khattar, R. S.; Fox, D. J.; Alty, J. E.; Arora, A. (1 February 2005).
446:
682:
163:
277:
due to occlusion of the true lumen of the aorta by the false lumen.
1026:
293:
266:
242:
173:
By separating a portion of the wall of the artery (a layer of the
347:
Carotid and vertebral artery dissection are grouped together as "
213:
of the true lumen and the related end organs. For example, in an
1058:
393:
167:
646:
15:
483:"Arterial dissections: Common features and new perspectives"
476:
474:
472:
588:
1404:
1339:
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1066:
1057:
1025:
985:
890:
850:
827:
738:
729:
699:
681:
592:
429:Salgado OJ, Chacón RE, Alcalá A, Alvarez G (2005).
320:) an extremely rare condition as a complication of
144:
123:
46:. Unsourced material may be challenged and removed.
658:
398:; cytoskeletal/contractile pathway genes and
8:
371:contractility. Variants in genes including
1336:
1238:Chronic cerebrospinal venous insufficiency
1063:
735:
696:
665:
651:
643:
589:
129:
120:
557:
508:
498:
106:Learn how and when to remove this message
421:
377:COL1A1, COL1A2, COL3A1, COL4A1, COL5A2
308:spontaneous coronary artery dissection
1010:Hereditary hemorrhagic telangiectasia
7:
1015:Generalized essential telangiectasia
487:Frontiers in Cardiovascular Medicine
44:adding citations to reliable sources
367:pathways, cellular metabolism and
189:, is secondary to the tear in the
14:
193:. Dissections originating in the
1165:Cerebral venous sinus thrombosis
255:Aorta descendens with dissection
197:are caused by disruption of the
162:is a tear within the wall of an
20:
170:wall tear has been documented.
31:needs additional citations for
1116:Hepatic veno-occlusive disease
1:
928:Aneurysm of sinus of Valsalva
782:Monckeberg's arteriosclerosis
1233:Chronic venous insufficiency
858:Aortoiliac occlusive disease
234:left hemisphere of the brain
1248:Inferior vena cava syndrome
1243:Superior vena cava syndrome
970:Vertebral artery dissection
960:Intracranial berry aneurysm
407:vascular smooth muscle cell
369:vascular smooth muscle cell
337:Vertebral artery dissection
314:Pulmonary artery dissection
1460:
1349:Hypertensive heart disease
1000:Arteriovenous malformation
975:Familial aortic dissection
349:Cervical artery dissection
300:Coronary artery dissection
1374:Renovascular hypertension
1317:Hepatic artery thrombosis
965:Carotid artery dissection
918:Abdominal aortic aneurysm
768:Intermittent claudication
731:Peripheral artery disease
500:10.3389/fcvm.2022.1055862
327:Carotid artery dissection
137:
128:
1359:Hypertensive nephropathy
1172:Post-thrombotic syndrome
1153:Paget–Schroetter disease
945:Coronary artery aneurysm
923:Thoracic aortic aneurysm
232:(and its end organ, the
1414:Orthostatic hypotension
1396:White coat hypertension
873:Fibromuscular dysplasia
837:Carotid artery stenosis
550:10.1136/hrt.2004.045799
403:, MYLK, PRKG1, and TLN1
250:of an aortic dissection
1386:Pulmonary hypertension
1369:Secondary hypertension
1364:Essential hypertension
1354:Hypertensive emergency
1195:Portacaval anastomosis
1131:Portal vein thrombosis
773:Critical limb ischemia
674:Cardiovascular disease
385:FBN1, FBN2, LOX, MFAP5
322:pulmonary hypertension
306:) also referred to as
261:
219:left subclavian artery
181:), a tear creates two
55:"Arterial dissections"
1391:Systolic hypertension
1136:Renal vein thrombosis
995:Arteriovenous fistula
987:Vascular malformation
955:Intracranial aneurysm
842:Renal artery stenosis
271:common iliac arteries
246:
1305:Paradoxical embolism
1300:Cholesterol embolism
1126:May–Thurner syndrome
1121:Budd–Chiari syndrome
1104:Deep vein thrombosis
1099:primarily lower limb
878:Raynaud's phenomenon
381:extracellular matrix
365:extracellular matrix
124:Arterial dissections
40:improve this article
1381:Benign hypertension
230:left common carotid
160:arterial dissection
1295:Pulmonary embolism
1205:Esophageal varices
1143:upper limb / torso
787:Arteriolosclerosis
285:Examples include:
262:
1426:
1425:
1422:
1421:
1266:Arteries or veins
1261:
1260:
1086:Venous thrombosis
1053:
1052:
1035:Cherry hemangioma
935:Aortic dissection
886:
885:
721:Buerger's disease
640:
639:
447:10.1002/jcu.20171
435:J Clin Ultrasound
290:Aortic dissection
215:aortic dissection
177:or in some cases
156:
155:
139:Aortic dissection
118:Medical condition
116:
115:
108:
90:
1451:
1337:
1148:Mondor's disease
1091:Thrombophlebitis
1064:
740:Arteriosclerosis
736:
697:
667:
660:
653:
644:
590:
579:
578:
576:
574:
561:
529:
523:
522:
512:
502:
478:
467:
466:
426:
341:vertebral artery
318:pulmonary artery
151:Vascular surgery
133:
121:
111:
104:
100:
97:
91:
89:
48:
24:
16:
1459:
1458:
1454:
1453:
1452:
1450:
1449:
1448:
1439:Gross pathology
1429:
1428:
1427:
1418:
1400:
1326:
1283:Microangiopathy
1278:Macroangiopathy
1257:
1221:
1190:Gastric varices
1176:
1089:
1080:
1049:
1021:
981:
913:Aortic aneurysm
899:
882:
868:Erythromelalgia
846:
823:
748:Atherosclerosis
725:
689:
677:
671:
641:
636:
635:
601:
587:
582:
572:
570:
531:
530:
526:
480:
479:
470:
428:
427:
423:
419:
396:, TGFBR2, TGFB2
391:pathways genes
357:
355:Common features
304:coronary artery
283:
256:
251:
207:
119:
112:
101:
95:
92:
49:
47:
37:
25:
12:
11:
5:
1457:
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1424:
1423:
1420:
1419:
1417:
1416:
1410:
1408:
1402:
1401:
1399:
1398:
1393:
1388:
1383:
1378:
1377:
1376:
1366:
1361:
1356:
1351:
1345:
1343:
1334:
1332:Blood pressure
1328:
1327:
1325:
1324:
1319:
1314:
1309:
1308:
1307:
1302:
1297:
1287:
1286:
1285:
1280:
1269:
1267:
1263:
1262:
1259:
1258:
1256:
1255:
1250:
1245:
1240:
1235:
1229:
1227:
1223:
1222:
1220:
1219:
1214:
1213:
1212:
1207:
1202:
1192:
1186:
1184:
1182:Varicose veins
1178:
1177:
1175:
1174:
1169:
1168:
1167:
1157:
1156:
1155:
1150:
1140:
1139:
1138:
1133:
1128:
1123:
1118:
1108:
1107:
1106:
1095:
1093:
1082:
1081:
1079:
1078:
1072:
1070:
1061:
1055:
1054:
1051:
1050:
1048:
1047:
1045:Spider angioma
1042:
1037:
1031:
1029:
1027:Vascular nevus
1023:
1022:
1020:
1019:
1018:
1017:
1012:
1005:Telangiectasia
1002:
997:
991:
989:
983:
982:
980:
979:
978:
977:
972:
967:
962:
957:
947:
942:
940:Aortic rupture
937:
932:
931:
930:
925:
920:
905:
903:
901:pseudoaneurysm
888:
887:
884:
883:
881:
880:
875:
870:
865:
860:
854:
852:
848:
847:
845:
844:
839:
833:
831:
825:
824:
822:
821:
820:
819:
814:
812:Oxycholesterol
809:
804:
799:
794:
784:
778:
777:
776:
775:
770:
765:
760:
755:
744:
742:
733:
727:
726:
724:
723:
718:
717:
716:
705:
703:
694:
679:
678:
672:
670:
669:
662:
655:
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597:
596:
594:
593:Classification
586:
585:External links
583:
581:
580:
544:(2): 142–145.
524:
468:
420:
418:
415:
356:
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331:carotid artery
324:
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297:
282:
279:
206:
203:
154:
153:
148:
142:
141:
135:
134:
126:
125:
117:
114:
113:
28:
26:
19:
13:
10:
9:
6:
4:
3:
2:
1456:
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1434:
1415:
1412:
1411:
1409:
1407:
1403:
1397:
1394:
1392:
1389:
1387:
1384:
1382:
1379:
1375:
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1371:
1370:
1367:
1365:
1362:
1360:
1357:
1355:
1352:
1350:
1347:
1346:
1344:
1342:
1338:
1335:
1333:
1329:
1323:
1320:
1318:
1315:
1313:
1310:
1306:
1303:
1301:
1298:
1296:
1293:
1292:
1291:
1288:
1284:
1281:
1279:
1276:
1275:
1274:
1271:
1270:
1268:
1264:
1254:
1251:
1249:
1246:
1244:
1241:
1239:
1236:
1234:
1231:
1230:
1228:
1224:
1218:
1215:
1211:
1208:
1206:
1203:
1201:
1200:Caput medusae
1198:
1197:
1196:
1193:
1191:
1188:
1187:
1185:
1183:
1179:
1173:
1170:
1166:
1163:
1162:
1161:
1158:
1154:
1151:
1149:
1146:
1145:
1144:
1141:
1137:
1134:
1132:
1129:
1127:
1124:
1122:
1119:
1117:
1114:
1113:
1112:
1109:
1105:
1102:
1101:
1100:
1097:
1096:
1094:
1092:
1087:
1083:
1077:
1074:
1073:
1071:
1069:
1065:
1062:
1060:
1056:
1046:
1043:
1041:
1038:
1036:
1033:
1032:
1030:
1028:
1024:
1016:
1013:
1011:
1008:
1007:
1006:
1003:
1001:
998:
996:
993:
992:
990:
988:
984:
976:
973:
971:
968:
966:
963:
961:
958:
956:
953:
952:
951:
948:
946:
943:
941:
938:
936:
933:
929:
926:
924:
921:
919:
916:
915:
914:
910:
907:
906:
904:
902:
897:
893:
889:
879:
876:
874:
871:
869:
866:
864:
863:Degos disease
861:
859:
856:
855:
853:
849:
843:
840:
838:
835:
834:
832:
830:
826:
818:
815:
813:
810:
808:
805:
803:
800:
798:
795:
793:
790:
789:
788:
785:
783:
780:
779:
774:
771:
769:
766:
764:
761:
759:
756:
754:
751:
750:
749:
746:
745:
743:
741:
737:
734:
732:
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719:
715:
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711:
710:
707:
706:
704:
702:
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688:
684:
680:
675:
668:
663:
661:
656:
654:
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648:
645:
632:
628:
627:
623:
621:
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608:
604:
603:
600:
595:
591:
584:
569:
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560:
555:
551:
547:
543:
539:
535:
528:
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520:
516:
511:
506:
501:
496:
492:
488:
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477:
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469:
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460:
456:
452:
448:
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432:
425:
422:
416:
414:
412:
408:
404:
402:
397:
395:
390:
386:
382:
379:, as well as
378:
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350:
342:
338:
335:
332:
328:
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319:
315:
312:
309:
305:
301:
298:
295:
291:
288:
287:
286:
280:
278:
276:
272:
268:
260:Aorta isthmus
259:
254:
249:
245:
241:
239:
235:
231:
227:
223:
220:
216:
212:
204:
202:
200:
196:
192:
188:
187:tunica intima
184:
180:
179:tunica intima
176:
171:
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149:
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99:
96:December 2013
88:
85:
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78:
74:
71:
67:
64:
60:
57: –
56:
52:
51:Find sources:
45:
41:
35:
34:
29:This article
27:
23:
18:
17:
1341:Hypertension
1253:Venous ulcer
1159:
1142:
1110:
1098:
1068:Inflammation
949:
908:
797:Hyperplastic
758:Fatty streak
701:Inflammation
624:
605:
571:. Retrieved
541:
537:
527:
490:
486:
441:(9): 464–7.
438:
434:
424:
410:
399:
392:
384:
376:
358:
346:
284:
275:malperfusion
263:
257:
252:
208:
199:vasa vasorum
195:tunica media
191:tunica media
175:tunica media
172:
159:
157:
102:
93:
83:
76:
69:
62:
50:
38:Please help
33:verification
30:
1406:Hypotension
950:head / neck
802:Cholesterol
692:capillaries
573:13 February
205:Description
1433:Categories
1322:Vasculitis
1312:Thrombosis
1273:Angiopathy
1217:Varicocele
1210:Hemorrhoid
1040:Halo nevus
896:dissection
687:arterioles
417:References
351:" (CeAD).
66:newspapers
1444:Angiology
1076:Phlebitis
817:Trans fat
753:Foam cell
709:Arteritis
676:(vessels)
363:pathway,
217:, if the
211:perfusion
146:Specialty
1290:Embolism
892:Aneurysm
829:Stenosis
763:Atheroma
714:Aortitis
683:Arteries
568:15657218
519:36561772
463:20589311
455:16281272
373:Collagen
238:proximal
1111:abdomen
792:Hyaline
631:D000784
559:1768672
510:9763901
411:SLC2A10
401:PHACTR1
310:or SCAD
222:orifice
80:scholar
566:
556:
517:
507:
461:
453:
405:; and
383:genes
375:genes
269:, the
226:distal
183:lumens
164:artery
82:
75:
68:
61:
53:
1226:Other
1059:Veins
909:torso
851:Other
620:443.2
616:441.0
538:Heart
459:S2CID
409:gene
389:TGF-β
361:TGF-β
294:aorta
281:Types
267:aorta
236:) if
224:were
87:JSTOR
73:books
1160:head
690:and
626:MeSH
611:9-CM
575:2023
564:PMID
515:PMID
451:PMID
394:LRP1
168:vein
59:news
807:LDL
607:ICD
554:PMC
546:doi
505:PMC
495:doi
443:doi
248:MRI
158:An
42:by
1435::
911::
894:/
685:,
629::
618:,
614::
562:.
552:.
542:91
540:.
536:.
513:.
503:.
493:.
489:.
485:.
471:^
457:.
449:.
439:33
437:.
433:.
387:;
1088:/
898:/
666:e
659:t
652:v
609:-
599:D
577:.
548::
521:.
497::
491:9
465:.
445::
343:)
339:(
333:)
329:(
316:(
302:(
296:)
292:(
258:2
253:1
109:)
103:(
98:)
94:(
84:·
77:·
70:·
63:·
36:.
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