Interval or Permanent Nonoperative Management of Acute Type A Aortic Dissection

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Interval or permanent nonoperative management of acute type A aortic dissection.

HYPOTHESIS Selected patients with acute type A (ascending) aortic dissection who are treated with delayed operation or nonoperative therapy may have better early and short-term outcomes than was previously expected. DESIGN AND SETTING Retrospective cohort at a university hospital. SUBJECTS Data on 75 patients with acute or chronic type A aortic dissection treated at one institution from Jan...

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Acute Type A Dissection and Acute Inferior MI Complicating Aortic Coarctation: A Case Report

Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation. A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His ele...

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Principles for Management of Intraoperative Acute Type A Aortic Dissection.

Intraoperative Type A aortic dissection is a rare pathology with incidence of 0.06-0.32%. It is associated with a high mortality between 30-50%. Some associated risk factors, including hypertension, enlarged aorta, peripheral vascular disease, advanced age, atheroma, and high arterial pressure on cardiopulmonary bypass, have been identified. Modification of these risk factors could reduce the i...

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Type-A acute aortic dissection: combined operation plus stent management.

When the port of entry of acute type-A aortic dissection is at the level of the horizontal portion of the aortic arch, the latter should be replaced by a prosthesis. To avoid performing this difficult procedure in an emergency situation, we place a stent in the aortic arch. Then we replace the ascending aorta by a prosthesis.

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type b aortic dissection: management updates

acute aortic dissection (aad) is the most frequent catastrophic event of the aorta; it occurs nearly three times as frequently as the rupture of abdominal aortic aneurysm . sixty percent of dissection cases are classified as proximal or type a and 40% as distal or type b, according to the stanford classification. the most frequent causes of death in acute type b dissection are aortic rupture an...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 1999

ISSN: 0004-0010

DOI: 10.1001/archsurg.134.4.402