Acute aortic disease - download pdf or read online

By John Elefteriades

ISBN-10: 084937023X

ISBN-13: 9780849370236

Protecting the pathophysiology, imaging, analysis, and therapy of quite a few aortic aneurysms and dissections, this resource is helping physicians successfully research and overview affected participants in medical or emergency care settings. supplying a wide range of illustrations, x-rays, and operative images to stress key anatomic observations, this consultant includes state of the art perception at the most up-to-date biologic, radiologic, medical, and surgical advancements that experience taken position within the box. offered in a reader-friendly layout, this resource offers end-of-chapter questions and a point-counterpoint layout to investigate differing views from well known specialists on those ailments. The Q

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Conversely, Type III DeBakey dissection appears less life threatening and may be followed conservatively, or subjected to nonsurgical stent-graft repair (40). Figure 1 The most common classification systems of thoracic aortic dissection— the Stanford and DeBakey classifications. indd6 6 2/14/2007 5:51:15 PM Classification of Aortic Dissection 7 Stanford Classification The original Stanford classification described by Daily et al. (44) stratified dissection into two different groups with respect to management and prognosis, with type A involving the ascending aorta and type B involving all other dissections beyond the left subclavian artery.

Conversely, distal dissections of the Stanford type B scenario often reach the subacute phase of the dissection process. All-cause mortality of type B dissection within one month of clinical impact is ∼10% according to the IRAD data (Fig. 2). Many cases of type B dissection actually reveal a stable clinical course once the acute phase has passed, under conservative management (including Figure 7 Statistics from the International Registry of Acute Aortic Dissection show that mortality of medical treatment of type A dissection is extremely high both in-hospital and during follow-up and clearly surpasses mortality of type B dissection during a median follow-up of 357 days.

Cooke JP, Kazmier FJ, Orszulak TA. The penetrating aortic ulcer: pathologic manifestations, diagnosis and management. Mayo Clin Proc 1988; 63:718–725. 63. von Kodolitsch Y, Nienaber CA. Penetrating ulcer of the thoracic aorta: natural history, diagnostic, and prognostic profiles. Z Kardiol 1998; 87(12):917–927. 64. Braverman AC. Penetrating atherosclerotic ulcers of the aorta. Curr Opin Cardiol 1994; 9:591–597. 65. Movsowitz HD, Lampert C, Jacobs LE, et al. Penetrating atherosclerotic aortic ulcers.

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Acute aortic disease by John Elefteriades


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