Aebert, H (1997) Aneurysms and dissections of the thoracic aorta. MEDIZINISCHE WELT, 48 (1). pp. 16-19. ISSN 0025-8512,
Full text not available from this repository.Abstract
The pathogenetic mechanism in these diseases is a weakness of the aortic media. This may lead to a progressive dilatation of the vascular diameter (aneurysm) or to an acute tear of the intima and consecutive splitting (dissection) of the aortic wall. The weakness of the vascular wall may be caused by congential diseases of the fibrillar frame (e.g. Marfan syndrome) or degenerative processes most commonly seen in arteriosclerosis. Symptoms of aneurysms may be chronically progressive or absent. Dissections are acute diseases with massive chest pain. Myocardial infarction is the most important differential diagnosis. Premature application of anticoagulants or lytic agents may be devastating. Mainstay of surgical therapy is replacement of the diseased aortic segment with a prosthesis. For operations of the ascending aorta and the aortic arch use of the heart-lung machine is mandatory. Other forms of extracorporeal circulation are. recommended for replacement of the descending thoracic aorta. Even after successful surgical therapy the pathogenetic mechanisms for the development of aneurysms or dissections are still active. Therefore, lifelong follow-up examinations are required. Private physicians play a decisive role in this task and are also very important for discovering congenital lesions of the aorta.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; aneurysm; dissection; thoracic aorta; surgery |
| Depositing User: | Dr. Gernot Deinzer |
| Last Modified: | 19 Oct 2022 08:33 |
| URI: | https://pred.uni-regensburg.de/id/eprint/51232 |
Actions (login required)
 |
View Item |
