By John Elefteriades
Protecting the pathophysiology, imaging, analysis, and therapy of various aortic aneurysms and dissections, this resource is helping physicians successfully learn and assessment affected contributors in medical or emergency care settings. providing a big selection of illustrations, x-rays, and operative photos to stress key anatomic observations, this advisor includes state of the art perception at the most modern biologic, radiologic, medical, and surgical advancements that experience taken position within the box. provided in a reader-friendly layout, this resource offers end-of-chapter questions and a point-counterpoint structure to investigate differing views from popular specialists on those ailments. The Q
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Aorta and aortic valve morphologies predisposing to aortic dissection. An in vivo assessment with transesophageal echocardiography. Eur Heart J 1994; 15:1520–1527. 36. von Kodolitsch Y, Simic O, Schwartz A, et al. Predictors of proximal aortic dissection at the time of aortic valve replacement. Circulation 1999; 100(suppl 19): II287–II294. 37. Boussou H, Julian M, Pieraggi MT. Aortic lathyrism and atheroma in the rat by prolonged hyperlipidic diet. Gerontology 1978; 24:250–265. 38. Grannis FW Jr, Bryant C, Caffaratti JD, et al.
7). 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.
Schor JS, Yerlioglu ME, Galla JD, Lansman SL, Ergin MA, Griepp RB. Selective management of acute type B aortic dissection: long-term follow-up. Ann Thorac Surg 1996; 61:1339–1341. indd22 22 2/14/2007 5:51:21 PM Classification of Aortic Dissection 23 54. Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection. Recommendations of the Task Force on Aortic Dissection, European Society of Cardiology. Eur Heart J 2001; 22:1642–1681. 55. Svensson LG, Labib SB, Eisenhauer AC, et al.