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Ann Thorac Surg 2008;85:1139-1140. doi:10.1016/j.athoracsur.2007.04.092
© 2008 The Society of Thoracic Surgeons
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Correspondence

Medical Treatment for Acute Type A Aortic Dissection?

Joerg Babin-Ebell, MD, Martin Misfeld, MD, PhD

Clinic of Cardiac Surgery, University Clinic of Schleswig-Holstein, Campus Luebeck, Ratzeburger Allee 160, Luebeck, 23538, Germany

(Email: joerg.babin-ebell@web.de).

The first 20% of the full text of this article appears below.

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 . . . [Full Text of this Article]


Related Article

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Santi Trimarchi, Vincenzo Rampoldi, International Registry of Acute Aortic Dissection, Thomas Tsai, Jeanna V. Cooper, Eric M. Isselbacher, Christoph A. Nienaber, and Kim A. Eagle
Ann. Thorac. Surg. 2008 85: 1140-1141. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


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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
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Ann. Thorac. Surg., March 1, 2008; 85(3): 1140 - 1141.
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