Medical treatment for acute Type A aortic dissection.

Abstract:

:Six patients with acute Type A aortic dissection were medically treated due to advanced age, patient refusal and comorbidity despite surgical indication. Computed tomography after onset revealed a thrombosed false lumen in 3 patients and a patent false lumen with flap in 3 patients. All patients were stable during admission except 1 patient who presented with shock. After admission, treatment including strict control of systolic blood pressure was started according to a predetermined treatment strategy. All patients had no significant complications during hospitalization. All patients survived and returned to their usual activities. Medical treatment for stable elderly patients is a possible therapeutic option for acute Type A aortic dissection.

authors

Ozaki N,Yuji D,Sato M,Inoue K,Wakita N

doi

10.1093/icvts/ivx404

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

696-699

issue

4

eissn

1569-9293

issn

1569-9285

pii

4748860

journal_volume

26

pub_type

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