Document Detail

When and how to include arch repair in patients with acute dissections involving the ascending aorta.
MedLine Citation:
PMID:  8424999     Owner:  NLM     Status:  MEDLINE    
The arch should be included in the repair in patients with acute aortic dissection involving the ascending aorta when (1) the intimal tear is in the arch, (2) rupture of the arch has occurred, (3) the outer wall of the false channel in the arch is tenuous, and (4) the inner wall of the false channel is fragmented. A technique has evolved for patients with acute aortic dissection involving the arch that seems to minimize the difficulties and risks of including the arch, when indicated. Its place will best be determined by additional, prospective, and preferably multi-institutional testing.
J W Kirklin; N T Kouchoukos
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery     Volume:  5     ISSN:  1043-0679     ISO Abbreviation:  Semin. Thorac. Cardiovasc. Surg.     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-03-04     Completed Date:  1993-03-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8917640     Medline TA:  Semin Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  27-32     Citation Subset:  IM    
Department of Surgery, University of Alabama, Birmingham Medical Center 35294.
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MeSH Terms
Acute Disease
Aneurysm, Dissecting / surgery*
Aorta / surgery
Aorta, Thoracic / surgery*
Aortic Aneurysm, Thoracic / surgery*
Aortic Valve / surgery
Blood Vessel Prosthesis
Cardiopulmonary Bypass
Heart Valve Prosthesis
Intraoperative Care / methods

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

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