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Surgical Strategies in the Management of Acute Aortic Dissection

  • Conference paper
Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.

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Abstract

Aortic dissection is an acute, catastrophic disease leading the majority of patients to death due to aortic rupture, aortic valve insufficiency or end-organ malperfusion. In the absence of surgical treatment 50% of patients die within 48 hours and an additional 30% are lost within the following two weeks since the onset of symptoms [1], The mortality rate is substantially higher when the ascending aorta is involved, and of course lower when it is not, irrespective of the site of the entry tear [1]. A useful classification for analysing therapeutic strategies and results is reported in Fig. 1. It retains the basic simplicity of the popular Stanford scheme and also includes the notion of where the entry tear is located [2].

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Authors and Affiliations

  1. Dept. of Cardiac Surgery, Maggiore Hospital, Trieste, Italy

    B. Zingone

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  1. B. Zingone
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Editors and Affiliations

  1. Department of Anaesthesiology and Intensive Care, Trieste University School of Medicine, Trieste, Italy

    Antonino Gullo M.D. (Head) (Head)

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© 1999 Springer-Verlag Italia

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Zingone, B. (1999). Surgical Strategies in the Management of Acute Aortic Dissection. In: Gullo, A. (eds) Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E.. Springer, Milano. https://doi.org/10.1007/978-88-470-2145-7_25

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  • DOI: https://doi.org/10.1007/978-88-470-2145-7_25

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0051-3

  • Online ISBN: 978-88-470-2145-7

  • eBook Packages: Springer Book Archive

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