Document Detail

Acute type A aortic dissection: surgical intervention for all: CON.
MedLine Citation:
PMID:  20452548     Owner:  NLM     Status:  MEDLINE    
This article considers the role for interval or permanent medical therapy for specific groups of acute type A aortic dissection patients. These include patients with extremely advanced age or prohibitive comorbidities, realized stroke, prior aortic valve replacement, and those who have already survived several days after onset of symptoms. This consideration represents a "back to the future" paradigm shift reminiscent of the earliest recommendations before surgical therapy was feasible or safe.
John A Elefteriades; Marina Feldman
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Publication Detail:
Type:  Comment; Journal Article; Review    
Journal Detail:
Title:  Cardiology clinics     Volume:  28     ISSN:  1558-2264     ISO Abbreviation:  Cardiol Clin     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-09-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8300331     Medline TA:  Cardiol Clin     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  325-31     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Section of Cardiac Surgery, Department of Surgery, Yale University School of Medicine, Yale-New Haven Hospital, PO Box 208039, New Haven, CT 06520-8039, USA.
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MeSH Terms
Acute Disease
Aneurysm, Dissecting / complications,  physiopathology,  surgery*
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / complications,  physiopathology,  surgery*
Blood Pressure
Cerebrovascular Circulation
Disease Progression
Risk Factors
Stroke / etiology,  prevention & control*
Vascular Surgical Procedures / methods*
Comment On:
Cardiol Clin. 2010 May;28(2):317-23   [PMID:  20452547 ]
Comment In:
Cardiol Clin. 2010 May;28(2):333-4   [PMID:  20452549 ]

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

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