Why the study?
Does prompt surgical management improve survival compared to nonoperative treatment in patients with acute ascending aortic dissection?
Population
33 patients with acute dissection of the ascending aorta, presenting with severe chest pain, widened…
Comparison
Surgical management consisting of insertion of a… vs Nonoperative treatment (n=3).
Design
Case_series
Follow-up
Up to 5 years (for 4 patients)
Authors
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Supports surgical management in acute ascending aortic dissection; leaves open need for prospective validation given case-report design.
Does prompt surgical management improve survival compared to nonoperative treatment in patients with acute ascending aortic dissection?
Prompt surgical management with graft insertion and valve resuspension or replacement is mandatory for acute ascending aortic dissection to prevent fatal rupture.
Walter G. Wolfe (1980) studied this question.
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