{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T22:16:03Z","timestamp":1793744163038,"version":"4.6.1"},"reference-count":75,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Remarkable progress has become especially apparent in aortic medicine in the last few decades, leading to essential changes in how thoracic aortic dissection is understood and treated. This state-of-the-art review article addresses the mechanisms of acute aortic dissection, explaining the role of its primary entry location, proximal, and distal dissection extension in their clinical presentation and impact on the decision-making process towards the best treatment approach. The latest evidence on novel treatment methods for acute aortic syndromes is presented, and the diverse dissection classification systems that remain uncertain are discussed, which reveals the need for shared terminology and more clarity. Finally, future aspects are discussed in treating acute aortic dissection, such as the endovascular treatment of aortic dissection Type A and biomarkers for acute aortic syndromes.<\/jats:p>","DOI":"10.1093\/eurheartj\/ehac757","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T02:32:05Z","timestamp":1670380325000},"page":"813-821","source":"Crossref","is-referenced-by-count":161,"title":["Acute aortic dissection: evidence, uncertainties, and future therapies"],"prefix":"10.1093","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6890-2172","authenticated-orcid":false,"given":"Bartosz","family":"Rylski","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Freiburg University , Hugstetter Str. 55, 79106 Freiburg , Germany"},{"name":"Faculty of Medicine, University of Freiburg , Hugstetter Str. 55, 79106 Freiburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Schilling","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Freiburg , Hugstetter Str. 55, 79106 Freiburg , Germany"},{"name":"Institute for Surgical Pathology , Hugstetter Str. 55, 79106 Freiburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Heart Centre Freiburg University , Hugstetter Str. 55, 79106 Freiburg , Germany"},{"name":"Faculty of Medicine, University of Freiburg , Hugstetter Str. 55, 79106 Freiburg , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"2023030719430107000_","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. 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