Santini Francesco, Luciani Giovanni Battista, Montalbano Giuseppe, Messina Antonio, Faggian Giuseppe, Mazzucco Alessandro
Division of Cardiac Surgery, University of Verona, Verona, Italy.
J Cardiovasc Med (Hagerstown). 2007 Feb;8(2):102-7. doi: 10.2459/01.JCM.0000260210.87812.4a.
The aim of this report is to offer a concise review of the current knowledge of type A aortic dissection aetiology and pathogenesis, to propose an updated diagnostic algorithm, to provide descriptions of current surgical and endovascular techniques for treatment, and to emphasise criteria for patient follow-up. Additional information regarding the institutional experience developed in a tertiary university hospital with a 25-year exposure to aortic dissection is also included to provide a comprehensive view of a clinical entity that still challenges physicians and surgeons.
本报告旨在对A型主动脉夹层的病因和发病机制的现有知识进行简要综述，提出更新的诊断算法，描述当前的手术和血管内治疗技术，并强调患者随访标准。还纳入了一所三级大学医院25年来治疗主动脉夹层的机构经验的补充信息，以全面呈现这一仍对内科医生和外科医生构成挑战的临床实体。
