Download Acute aortic disease by John Elefteriades PDF

By John Elefteriades

Overlaying the pathophysiology, imaging, analysis, and remedy of various aortic aneurysms and dissections, this resource is helping physicians successfully learn and assessment affected members in medical or emergency care settings. supplying a wide range of illustrations, x-rays, and operative photos to stress key anatomic observations, this consultant includes state-of-the-art perception at the most up-to-date biologic, radiologic, medical, and surgical advancements that experience taken position within the box. awarded in a reader-friendly layout, this resource offers end-of-chapter questions and a point-counterpoint structure to research differing views from well known specialists on those illnesses. The Q

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A new 350 kD glycoprotein is a compound of extracellular microfibrills. J Cell Biol 1986; 103:2499–2509. 7. Collod G, Babron MC, Jondeau G, et al. 2–p25. Nat Genet 1994; 8:264–268. 8. Milewicz DM, Pyeritz RE, Crawford ES, et al. Marfan syndrome: defective synthesis, secretion and extracellular matrix formation of fibrillin by cultured dermal fibroblasts. J Clin Invest 1992; 89:79–86. 9. Ramirez F. Fibrillin mutations in Marfan syndrome and related phenotypes. Curr Opin Genet Dev 1996; 6:309–315.

Am Heart J 1992; 123:1398–1400. 30. Fredman C, Serota H, Deligonul U, et al. Ascending aortic aneurysm masquerading as fever, altered mental status and mediastinal mass. Am Heart J 1990; 119:408–410. 31. Patel KL, Gross J. Extracorporal shock wave lithotripsy induced abdominal aortic aneurysm rupture. J Am Geriatr Soc 1991; 39:318–319. 32. Moles VP, Chappuis F, Simonet F, et al. Aortic dissection as complication of percutaneous transluminal coronary angioplasty. Catheter Cardiovasc Diagn 1992; 26:8–11.

CLASSIFICATION WITH PROGNOSTIC IMPACT Proximal vs. Distal Dissection Anatomic classification is important for both therapy and prognostic assessment. The involvement of the proximal or ascending aorta in the dissection process may be accompanied by complications such as new onset of aortic valve regurgitation, pericardial effusion, hypotension, shock, syncope, or a widening mediastinum. These clinical features prior to surgery are associated with a significantly elevated in-hospital death rate (Fig.

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