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Diagnosis and Treatment of Aortic Diseases by Christoph A. Nienaber (auth.), Christoph A. Nienaber,

By Christoph A. Nienaber (auth.), Christoph A. Nienaber, Rossella Fattori (eds.)

`References are either entire and surprisingly present. this can be a superb quantity to discover information regarding aortic pathology, rather of the thoracic aorta. It additionally has a very good dialogue of recent diagnostic innovations ... might be of so much worth to cardiologists, interventionalists, and pathologists instead of surgeons.'
Journal of Vascular surgical procedure (March 2000)

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The false lumen is completely thrombosed in the ascending and partially thrombosed in the descending aorta showing various stages of thrombus age in the descending aorta. Figure 7b. 'l in the false lumen identified by signal void. The false lumen of the descending aorta is partially thrombosed. 20 C. A. NIENABER Figure 8. Transversal MR tomogram in spin-echo technique revealing a subtle ulcerlike dissection in the aortic arch which was not detected by any other method. Adjacent to the intimal laceration is evidence of methemoglobine fonnation indicating a subacute intramural hematoma by high-signal intensity.

In patients with DeBakey type III or Stanford type B dissections mortality was reported around 40 percent before 1987 irrespective of 38 C. A. NIENABER treatment strategies. After that period the management was changed in treating all patients with thrombosed false lumen with vigorous antihypertensive medication and operating on all patients with persistent flow in the false lumen [102]; of 51 patients in the medical group only 1 patient died (2 percent) whereas in the surgical group who had been operated upon for non-thrombosed persistently perfused false lumen, 17 percent died of various complications.

27. 28. 29. 30. 31. 32. 49 Marsalese DL, Moodie DS, Lytle BW et al. Cystic medial necrosis of the aorta in patients without Marfan syndrome: surgical outcome and longterm follow-up. J Am Coli Cardiol 1990; 16:68 Hollister DW, Goodfrey M, Sakai LY et al. Immunohistologic abnormalities of the microfibrillar-fiber system in the Marfan syndrome. N Engl J Med 1990; 323: 152 Roberts We. Aortic dissection: anatomy, consequences, and causes. , Johns VJ Jr. Kime SW Sr. Dissecting aneurysm of the aorta: a review of 505 cases.

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