[
Abstract]
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Full Text PDF] （in Japanese / 2280KB）
[Members Only And Two Factor Auth.] J.Jpn. Surg. Soc.. 81(9): 970-974, 1980
Report on the annual meeting
SURGICAL INDICATION OF TREATMENT FOR DISSECTING ANEURYSMS
Forty-three patients with dissecting aneurysm were encountered recently at our department. Because of several experiences with aortic dissection beginning in the abdomen, we proposed new classification of dissecting aneurysms instead of DeBakey's classification. Nineteen cases of them were operated on, and remainders were treated conservatively. Their follow-up results favor surgical over medical treatment. Surgical therapy can be indicated patients with type I and II dissection, but patients with aortic dissection should be treated medically initially, especially with type III dissection.Our current policy for the management of acute dissection is to utilize intensive medical treatment of at least 6 weeks or longer after the onset of symptoms, so that surgical intervention can be delayed. But a surgical treatment should be performed in time before potential dangerous complications may occur in a case undergoing medical treatment.
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