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The Journal of Cardiovascular Surgery 1999 October;40(5):699-701

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Acute dissection of the abdominal aorta

Marui A., Mochizuki T., Mitsui N., Koyama T.

From the Department of Cardiovascular Surgery Akane-Foundation Tsuchiya General Hospital Hiroshima, Japan


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A 64-­year-old man pre­sented ­with ­sudden ­lower abdom­inal ­pain and dif­fuse lum­bago. He was diag­nosed as ­having pri­mary dis­sec­tion of the abdom­inal ­aorta. ­Entry clo­sure and aneu­rysmal ­wall pli­ca­tion was per­formed, and the sub­se­quent ­course was sat­is­fac­tory. Sur­gical inter­ven­tion is rec­om­mended for ­patients ­with abdom­inal ­aortic dis­sec­tion in the infra­renal seg­ment, ­where the ­extent of dis­sec­tion is lim­ited and ­access is com­par­a­tively ­easy. ­Enhanced com­puted tomog­raphy is ­useful ­both in diag­nosis and ­follow-up of ­this ­aortic dis­ease.

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