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25 Aortic Dissection

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Suggested Reading

1.Bastos Gonçalves F, Metz R. Decision-making in type-B dissection: current evidence and future perspectives. J Cardiovasc Surg (Torino). 2010;51(5):657–67.

In uncomplicated type B dissection, conservative treatment with tight blood pressure and heart rate control is safe and effective. Early stent-graft implantation may, however, result in more favorable aortic remodeling and reduced late complications.

2.Ranasinghe AM, Bonser RS. Biomarkers in acute aortic dissection and other aortic syndromes. J Am Coll Cardiol. 2010;56(19):1535–41.

Comments: Overview of biomarkers like D-dimer in improving diagnosis of acute aortic dissection.

3.Karthikesalingam A, Holt PJ. The diagnosis and management of aortic dissection. Vasc Endovascular Surg. 2010;44(3):165–9.

Comments: Twenty percent of the patients with aortic dissection die before reaching hospital and 30 percent die during hospital admission. Advances in endovascular technology have provided new treatment options.

4.Ankel F. Chapter 83: Aortic dissection. In: Marx JA, editor. Rosen’s emergency medicine: concepts and clinical practice. 7th ed. Philadelphia: Mosby Elsevier;2009.

5.Poonyagariyagorn H, Hook M, Bhatt DL. Cardiovascular emergencies. In: Cleveland clinic: current clinical medicine. Philadelphia: Saunders Elsevier;2008.

Part III

Nervous System

Shiva Iyer and Nagarajan Ramakrishnan

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