Document Detail


Acute dissections of the aorta. Current surgical treatment.
MedLine Citation:
PMID:  3898439     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tremendous progress has been made in the treatment of acute aortic dissections as a result of advances in surgical, medical, and diagnostic modalities. Rapid clinical diagnosis should be followed by aggressive monitoring, pharmacologic manipulation, and definitive elucidation of the anatomy of the disorder. Ultrasonography and CT scanning may provide valuable information on the anatomy of the dissection, but contrast arteriography remains the preferred method for demonstrating the anatomy. Surgical correction is now recommended for both type A and type B dissections during the acute stage. The exact approach is dictated by the location of the intimal tear and the extent of the dissection. The complexity of the operation may extend from interposing an intraluminal graft to full cardiopulmonary bypass with profound hypothermia, circulatory arrest, and replacement of the ascending aorta, aortic arch, or aortic valve apparatus. The rapid advancement of management techniques for acute aortic dissections now offers patients a reasonable expectation of survival without complications. Future improvements in early, noninvasive, and rapid diagnostic methods, as well as increased utilization of invasive monitoring and nonporous graft materials, promise to increase survival for a patient afflicted with acute aortic dissection.
Authors:
M A Ergin; J D Galla; S Lansman; R B Griepp
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  65     ISSN:  0039-6109     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  1985 Jun 
Date Detail:
Created Date:  1985-10-08     Completed Date:  1985-10-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  721-41     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Anesthesia, General
Aneurysm, Dissecting / diagnosis,  surgery*
Aorta
Aorta, Thoracic
Aortic Aneurysm / diagnosis,  surgery*
Blood Vessel Prosthesis*
Cardiopulmonary Bypass
Female
Humans
Intraoperative Care
Male
Middle Aged
Monitoring, Physiologic
Postoperative Care
Preoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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