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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| Format: | Article |
| Language: | English |
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The Texas Heart Institute
2025-05-01
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| Series: | Texas Heart Institute Journal |
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| Online Access: | https://thij.kglmeridian.com/downloadpdf/view/journals/thij/52/1/article-e248542.pdf |
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| author | Zhaohui Wang, MS Xiaohui Lv, BS Yipeng Chen, BS Lijun Chen, MS |
| author_facet | Zhaohui Wang, MS Xiaohui Lv, BS Yipeng Chen, BS Lijun Chen, MS |
| author_sort | Zhaohui Wang, MS |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-568dbb23cbe44a189def84f7d96f2313 |
| institution | OA Journals |
| issn | 1526-6702 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | The Texas Heart Institute |
| record_format | Article |
| series | Texas Heart Institute Journal |
| spelling | doaj-art-568dbb23cbe44a189def84f7d96f23132025-08-20T02:27:00ZengThe Texas Heart InstituteTexas Heart Institute Journal1526-67022025-05-015211410.14503/THIJ-24-8542i1526-6702-52-1-e248542Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older PatientZhaohui Wang, MS0Xiaohui Lv, BS1Yipeng Chen, BS2Lijun Chen, MS31 Department of Cardiac Surgery, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China1 Department of Cardiac Surgery, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China2 Department of Cardiovascular Medicine, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, China1 Department of Cardiac Surgery, Affiliated Dongyang Hospital of Wenzhou Medical University, Dongyang, Zhejiang, ChinaAcute 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.https://thij.kglmeridian.com/downloadpdf/view/journals/thij/52/1/article-e248542.pdfaortic dissectionconservative treatmentprognosisaged, 80 and overfollow-up studies |
| spellingShingle | Zhaohui Wang, MS Xiaohui Lv, BS Yipeng Chen, BS Lijun Chen, MS Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient Texas Heart Institute Journal aortic dissection conservative treatment prognosis aged, 80 and over follow-up studies |
| title | Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient |
| title_full | Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient |
| title_fullStr | Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient |
| title_full_unstemmed | Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient |
| title_short | Nine-Year Follow-Up of Conservatively Managed Acute Type A Aortic Dissection in an Older Patient |
| title_sort | nine year follow up of conservatively managed acute type a aortic dissection in an older patient |
| topic | aortic dissection conservative treatment prognosis aged, 80 and over follow-up studies |
| url | https://thij.kglmeridian.com/downloadpdf/view/journals/thij/52/1/article-e248542.pdf |
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