Acute aortic arch dissection: Reevaluation of the indications for medical and surgical therapy

Jack Kolff, Robert J. Bates, Samuel C. Balderman, Kayode Shenkoya, Constantine E. Anagnostopoulos

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Of 42 patients with dissection of the aorta, 4 had important arch involvement. Results were good in 2 patients treated medically. In two other patients wrapping the arch with a Dacron graft successfully prevented fatal hemorrhage. This technique avoids the need for arch replacement in selected cases. From this experience and a review of others a flow sheet was developed to guide decision-making in the surgical and medical management of patients with aortic dissection.

Original languageEnglish
Pages (from-to)727-733
Number of pages7
JournalAmerican Journal of Cardiology
Volume39
Issue number5
DOIs
StatePublished - 1977
Externally publishedYes

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