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By Jeffrey L. Ballard

This ebook stories the pathogenesis, epidemiology, and screening for center and stroke threat. It additionally makes a speciality of the procedure and particular therapy techniques for regimen and intricate aortic pathology, using cutting edge surgical fix. Aortic surgical procedure is a convenient reference for the clinician and trainee and provides severe perception into the complexities of aortic illnesses throughout the wisdom of said specialists within the remedy of aortic sickness.

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Lancet 1998; 352:1649-1655. Cronenwett JL, Johnston KW. The United Kingdom Small Aneurysm Trial: Implications for surgical treatment of abdominal aortic aneurysms. J Vasc Surg 29:191-3. Lderle FA, Wilson SE, Johnson GR et al. Design of the abdominal aortic aneurysm detection and management study. J Vasc Surg 1994; 20:296-303. Lederle FA, Johnson GR, Wilson SE et al. Prevalence and associations of abdominal aortic aneurysm detected through screening. Ann Int Med 1997; 126:441-49. CHAPTER 1 CHAPTER 4 The Pathophysiology of Aortic Dissection James I.

Fann and D. 1-5 Even with modern diagnostic modalities, a substantial fraction of patients with aortic dissection die without a correct diagnosis. Untreated, acute aortic dissection is highly lethal with a mortality of 8% within the first 6 hours, 13% within 12 hours, 21% within 24 hours, and 74% in the first 2 weeks. Therefore, it is of paramount importance that the physician maintain a high index of suspicion for this condition, so that appropriate therapy can be promptly instituted. Although there were multiple postmortem reports of this entity in the 16th century, the first comprehensive account of aortic dissection was provided by Morgagni in 1761.

However, Lindholt et al attributed this association to the concomitant use of medications (oral steroids), rather than a common pathway of pathogenesis. 05). 2. Prognostic factors associated with aneurysm rupture 2 Prognostic Factor Strength Reference COPD Aortic/L-3 vertebra diameter Index Cigarette smoking Symptoms (pain and tenderness) Aortic blebs Diastolic blood pressure Fusiform aneurysm 2 2 2 2 2 1 1 Aneurysm diameter > 50 mm Absence of PAOD 1 1 Cronenwett et al (8) Ouriel et al (9) Stracham et al (7) Cronenwett et al (8) Delin et al (10) Cronenwett et al (8) Sterpretti et al (5), Cronenwett et al (8) Ouriel et al (9) Cronenwett et al (8) 2: strong association and 1: weak association Fig.

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