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      Dissecting Aneurysm of the Descending Aorta: A Frequently Unrecognized Condition with Overrated Fatality

      ,

      Journal of Vascular Research

      S. Karger AG

      Dissecting aneurysm, Symptom, Physical signs, Localization, Survival data, Treatment

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          Abstract

          Clinical symptoms are variable and prognosis poor in patients with dissecting aneurysm of the ascending or descending aorta. Dissecting aneurysm of the ascending aorta is almost always an acute condition with limited survival, since most patients die in the first few days from rupture into the pericardium or thorax. Surgical repair under controlled hypotension should be initiated. Aneurysm of the descending aorta can be an acute complication of hypertension or a more chronic and often unrecognized condition. The early and late prognosis of this group is far better, and hypotensive treatment should be initiated. Secondary re-entry is not unusual. Surgical repair is only considered if the aneurysm extends despite reduction of blood pressure to normal.

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          Author and article information

          Journal
          JVR
          J Vasc Res
          10.1159/issn.1018-1172
          Journal of Vascular Research
          S. Karger AG
          1018-1172
          1423-0135
          1970
          1970
          18 September 2008
          : 7
          : 1
          : 28-38
          Affiliations
          University of Leuven, Department of Medicine (Head: Prof. Dr. J. Vanden-broucke), Section of Angiology, Leuven
          Article
          157813 Angiologica 1970;7:28–38
          10.1159/000157813
          © 1970 S. Karger AG, Basel

          Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

          Page count
          Pages: 11
          Categories
          Paper

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