By Christoph A. Nienaber (auth.), Christoph A. Nienaber, Rossella Fattori (eds.)
`References are either entire and surprisingly present. this can be a great quantity to discover information regarding aortic pathology, really of the thoracic aorta. It additionally has a superb dialogue of contemporary diagnostic ideas ... could be of so much worth to cardiologists, interventionalists, and pathologists instead of surgeons.'
Journal of Vascular surgical procedure (March 2000)
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Additional info for Diagnosis and Treatment of Aortic Diseases
20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 49 Marsalese DL, Moodie DS, Lytle BW et al. Cystic medial necrosis of the aorta in patients without Marfan syndrome: surgical outcome and longterm follow-up. J Am Coli Cardiol 1990; 16:68 Hollister DW, Goodfrey M, Sakai LY et al. Immunohistologic abnormalities of the microfibrillar-fiber system in the Marfan syndrome. N Engl J Med 1990; 323: 152 Roberts We. Aortic dissection: anatomy, consequences, and causes. , Johns VJ Jr. Kime SW Sr. Dissecting aneurysm of the aorta: a review of 505 cases.
Although considered more accurate and comprehensive and less sensitive for artifacts, MRI lacks the mobility of TEE and the widespread availability of CT. Up to now there is still the unresolved question of imaging the proximal coronaries with MR technology in an acute emergency setting. At the present, none of the noninvasive tomographic imaging modalities can reliably define the proximal coronary anatomy in an emergency setting as sometimes desired by surgeons prior to repair of the proximal aorta .
A partial arch type replacement may be a compromise with an acceptable mortality similar to that of a standard replacement of the ascending aortic tube. In any case, careful evaluation of patients is necessary to avoid incomplete resection of the tear which have a tendency for progression of dissection and a risk for late reoperations. Anyway, any surgical approach to aortic arch dissection needs careful evaluation of the patient's anatomy and a high level of expertise and experience as expected in all complex cardiovascular procedures.
Diagnosis and Treatment of Aortic Diseases by Christoph A. Nienaber (auth.), Christoph A. Nienaber, Rossella Fattori (eds.)