Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient
Acute type A aortic dissection is a catastrophic cardiovascular event characterized by severe pain and hemodynamic instability. The standard of care is emergency surgery, which, despite its benefits, carries substantial perioperative risks. Conservative management is an alternative approach reserved...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Texas Heart Institute
2025-05-01
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| Series: | Texas Heart Institute Journal |
| Subjects: | |
| Online Access: | https://thij.kglmeridian.com/downloadpdf/view/journals/thij/52/1/article-e248542.pdf |
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| Summary: | Acute type A aortic dissection is a catastrophic cardiovascular event characterized by severe pain and hemodynamic instability. The standard of care is emergency surgery, which, despite its benefits, carries substantial perioperative risks. Conservative management is an alternative approach reserved for older patients with clinically significant comorbidities or for whom surgical risk is prohibitive and perioperative mortality may outweigh potential benefits. The case is presented of a 75-year-old patient who opted for conservative management and has been followed up with favorable outcomes for 9 years since the index event. |
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| ISSN: | 1526-6702 |