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Current status of medical therapy of acute dissecting aneurysms of the aorta

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Abstract

In 6 series of patients with acute dissecting aneurysms of the aorta reported during 1970–1979, the best results were obtained by intensive drug therapy initially to correct hypertension and stabilize the patient, then diagnosis by aortography, and then surgical repair for Type A aneurysms involving the ascending aorta, and drug therapy alone for Type B aneurysms involving the descending thoracic aorta. Using this plan of treatment, mortality rates were 30% in patients with Type A dissections (surgical therapy) and 20% in those with Type B dissections (drug therapy).

Résumé

Dans 6 séries d'anévrismes disséquants aigus de l'aorte publiées entre 1970 et 1979, les meilleurs résultats ont été obtenus par: (1) traitement d'abord médical, intensif, pour corriger l'hypertension et stabiliser l'état du malade, suivi d'une aortographie de diagnostic et d'une correction chirurgicale, dans les anévrismes de type A qui intéressent l'aorte ascendante, (2) traitement uniquement médical dans les anévrismes de type B localisés à l'aorte descendante. Avec ce schéma de traitement, la mortalité a été de 30% dans les dissections de type A (traitement chirurgical) et de 20% dans les cas de type B (traitement médical).

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  1. University of Louisville School of Medicine, St. Petersburg, Florida, USA

    Myron W. Wheat Jr. M.D.

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  1. Myron W. Wheat Jr. M.D.
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Wheat, M.W. Current status of medical therapy of acute dissecting aneurysms of the aorta. World J. Surg. 4, 563–568 (1980). https://doi.org/10.1007/BF02401630

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