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Untreated acute aortic dissection involving the ascending aorta (type A) is associated with a high early mortality owing to rupture. Despite advancements in surgical technique and critical care, early mortality remains high. Operative mortality may be related to the technical challenges...
Aortic dissection involves a tear in the intimai and medial layers of the aortic wall. Early surgical treatment of this condition can be fraught with complications especially when the procedure to be performed involves treatment of renal and visceral vessels. Additionally, patients with this...
The management of aortic dissections remains controversial. Knowledge regarding the extent and specific pathophysiology of each dissection is critical prior to intervention. Cross-sectional imaging techniques coupled with intravascular ultrasound or hemodynamic measurements are vital. In the...
Acute aortic dissection is one of the most common catastrophes affecting the aorta. Because dissection can involve any aortic segment, the disease can manifest itself through a variety of clinical presentations. The most spectacular manifestation is frank rupture, usually into the pericardial or...
It is estimated that 20% to 40% of the patients who survive the acute phase of aortic dissection will develop significant aneurysmal dilatation of the descending thoracic or thoracoabdominal aorta. Aortic dissection has long been considered a risk factor for mortality and neurologic deficit...
Spontaneous infrarenal abdominal aortic dissection is rare. We observed enlargement of a spontaneous infrarenal aortoiliac dissection in a 55-year-old hypertensive man. Open surgical repair with a bifurcated polyester graft was successful. A review of the English literature found 41 previously...
Among the various treatment options for acute distal dissection with aortic branch compromise, we have favored open vascular surgical techniques. Our perspectives with over 500 patients treated during a 30-year period are presented herein.
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