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Clinic of Cardiac Surgery, University Clinic of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, Luebeck, 23538, Germany
(Email: joerg.babin-ebell@web.de).
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To the Editor:
We are writing with regard to the publication by Rampoldi and colleagues [1], which we read with great interest. However we believe that some aspects of this important article require further comments.
Of the 834 patients with acute type A aortic dissection, 148 patients (17.7%) were treated medically due to advanced age, severe comorbid illness, intramural hematoma, or refusal of intervention. In our opinion, advanced age is not generally a reason per se to refuse surgery. Studies have shown that emergency surgery in elderly patients with acute type A aortic dissection can be performed with a hospital mortality of
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Ann. Thorac. Surg. 2008 85: 1140-1141.
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S. Trimarchi, V. Rampoldi, International Registry of Acute Aortic Dissection, T. Tsai, J. V. Cooper, E. M. Isselbacher, C. A. Nienaber, and K. A. Eagle Reply Ann. Thorac. Surg., March 1, 2008; 85(3): 1140 - 1141. [Full Text] [PDF] |
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