This paper reviews the general considerations of type A aortic dissection and presents a case series of 173 operations focusing on aortic arch resection.
Supports feasibility of arch resection in type A dissection; leaves open optimal technique and long-term outcomes.
Aortic dissection is an uncommon however catastrophic disease with extremely high mortality rate in untreated patients. Proper diagnosis and treatment can favourably modify natural history. This review will discuss following topics: 1. Pathophysiology, incidence and classification 2. Clinical manifestation 3. Diagnostic procedures 4. Treatment. Own experience in treatment of acute type A aortic dissection will be shown with special focus on aortic arch resection.
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Szpakowski et al. (2001) studied this question.
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