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a Cardiovascular Center "E.Malan", IRCCS Policlinico San Donato, via Morandi 30, San Donato Milanese 20097, Italy
b University of Michigan, Ann Arbor, MI 48128
c Massachusetts General Hospital, Boston, MA 02114
d University of Rostock, Rostock, D-18055 Germany
e University of Michigan, Ann Arbor, MI 48128
(Email: satrimarchi@yahoo.it).
| The first 20% of the full text of this article appears below. |
To the Editor:
We would like to thank Drs Babin-Ebell and Misfeld [1] for their interest and comments regarding our article on a score to predict surgical mortality in acute type A aortic dissection (AAAD) [2]. We reported on 834 patients with AAAD, of which 148 (17.7%) had medical management due to different reasons such as advanced age, severe comorbid illness, intramural hematoma (IMH) or refusal of the intervention.
Advanced age is not generally a reason to refuse surgery. Data from the International Registry of Acute Aortic Dissection (IRAD) indicate
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