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Division of Cardiac Surgery, Massachusetts General Hospital, 55 Fruit St, Cox 652, Boston, MA 02114
(Email: tsundt@partners.org).
| The first 20% of the full text of this article appears below. |
The authors of this study [1], well respected clinical investigators in the field of aortic dissection, have performed a sophisticated statistical analysis of one of the largest and most carefully studied cohorts of consecutive patients treated surgically for acute type A aortic dissection in the literature with the aim of validating the Penn Classification. Their data confirm that categorizing patients according to this scheme achieves statistical significance between groups with respect to mortality - patients with malperfusion have a worse outcome than those without - and those with circulatory collapse and global ischemia do the worst of all. The authors conclude that continued usage of the Penn Classification is supported as it is
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