By John Elefteriades
Overlaying the pathophysiology, imaging, prognosis, and therapy of various aortic aneurysms and dissections, this resource is helping physicians successfully learn and evaluation affected members 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 structure, this resource offers end-of-chapter questions and a point-counterpoint structure to research differing views from popular specialists on those illnesses. The Q
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Extra info for Acute aortic disease
33. Januzzi J, Sabatine MS, Eagle KA, et al. Iatrogenic aortic dissection. Am J Cardiol 2002; 89:623–626. indd21 21 2/14/2007 5:51:21 PM 22 Nienaber and Ince 34. Pieters FAA, Widdershoven JW, Gerardy AC, et al. Risk of aortic dissection after aortic valve replacement. Am J Cardiol 1993; 72:1043–1047. 35. Epperlein S, Mohr-Kahaly S, Erbel R, et al. Aorta and aortic valve morphologies predisposing to aortic dissection. An in vivo assessment with transesophageal echocardiography. Eur Heart J 1994; 15:1520–1527.
References 1. Coady MA, Rizzo JA, Elefteriades JA. Pathologic variants of thoracic aortic dissections: Penetrating atherosclerotic ulcers and intramural hematomas. Cardiol Clin No Amer 1999; 17:637−657. 2. Tittle SL, Lynch RJ, Cole PE, Singh H, Rizzo JA, Kopf GS, Elefteriades JA. Midterm follow-up of penetrating ulcer and intramural hematoma of the aorta. J Thorac Cardiovasc Surg 2002; 123:1051−1059. indd28 28 2/14/2007 5:51:22 PM SECTION II: IMAGING AND DIAGNOSIS 2 The Symptoms and Signs of Acute Aortic Dissection: Clinical Diagnosis of “The Great Masquerader” Eric M.
Type II involves only the ascending aorta. Type III extends from the left subclavian artery to the descending thoracic diaphragmatic (IIIa) or upper abdominal region (IIIb). Types I and II require urgent surgical repair with an interposition graft, a conduit, or even associated hemi-arch or arch reconstruction. 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.