Spontaneous dissection of the abdominal aorta
Autor: | E. Debing, K. Von Kemp, S. Knape, P. Van den Brande, F. Van Tussenbroek |
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Přispěvatelé: | Surgery Specializations, Cardio-vascular diseases |
Rok vydání: | 2002 |
Předmět: |
medicine.medical_specialty
spontaneous dissection abdominal aorta Magnetic resonance angiography Diagnosis Differential Aortic aneurysm Aneurysm medicine.artery medicine Humans Aorta Abdominal Aged Aortic dissection medicine.diagnostic_test Rupture Spontaneous business.industry Abdominal aorta General Medicine Middle Aged medicine.disease Surgery Dissection Aortic Dissection Angiography Acute Disease Female Radiology Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed Abdominal surgery Aortic Aneurysm Abdominal |
Zdroj: | Annals of vascular surgery. 15(6) |
ISSN: | 0890-5096 |
Popis: | Spontaneous abdominal aortic dissection is a rare entity, often with a clinically unspecific presentation. The cause of the dissection is unclear. Angiography used to be the definitive diagnostic study, but today a correct diagnosis can be achieved with CT scanning and magnetic resonance angiography. The optimal form of management for the individual patient is not clearly established. Chronic dissections may best be managed conservatively, with close follow-up achieved with CT scanning and magnetic resonance. Acute and complicated dissections should be treated surgically with aortic and aortic branch replacement if it can be offered with low morbidity and mortality. In selected cases, resection of the ischemic organs may represent an alternative. |
Databáze: | OpenAIRE |
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