Document Detail


Diagnosis and management of acute type a aortic dissection.
MedLine Citation:
PMID:  21808165     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Acute aortic dissection (AAD) is the most common aortic catastrophe. The mortality rate of type A dissection approaches 40% to 50% in 48 hours. Causes of death include rupture, aortic insufficiency, or malperfusion involving the coronary arteries, head vessels, visceral arteries, and lower extremities. Other acute aortic conditions can be confused with AAD. Emergent surgery is usually recommended, although there are some situations in which initial management of malperfusion or conservative therapy can be considered prior to proximal aortic repair. Various surgical techniques are employed to manage AAD. This article reviews the etiology, clinical presentations, and management of patients with type A AAD.
Authors:
George Hines; Cristina Dracea; Douglas S Katz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology in review     Volume:  19     ISSN:  1538-4683     ISO Abbreviation:  Cardiol Rev     Publication Date:    2011 Sep-Oct
Date Detail:
Created Date:  2011-08-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304686     Medline TA:  Cardiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  226-32     Citation Subset:  IM    
Affiliation:
From the *Division of Vascular Surgery, Winthrop University Hospital, Mineola, NY; †Department of Surgery, SUNY, Stony Brook, NY; ‡Department of Radiology, Winthrop University Hospital, Mineola, NY.
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