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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

Conservative management of chronic aortic dissection with underlying aortic aneurysm

Mohammad Yusuf Beebeejaun, Aleksandra Malec, Ravi Gupta
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Published Online: Aug 7th 2018 Heart International 2013;8(1):e4 DOI: https://doi.org/10.4081/hi.2013.e4
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1

Abstract

Overview

Aortic dissection is one of the most common
aortic emergencies affecting around 2000
Americans each year. It usually presents in the
acute state but in a small percentage of patients
aortic dissections go unnoticed and these
patients survive without any adequate therapy.
With recent advances in medical care and diagnostic
technologies, aortic dissection can be
successfully managed through surgical or medical
options, consequently increasing the related
survival rate. However, little is known about
the optimal long-term management of patients
suffering from chronic aortic dissection. The
purpose of the present report is to review aortic
dissection, namely its pathology and the current
diagnostic tools available, and to discuss the
management options for chronic aortic dissection.
We report a patient in which chronic aortic
dissection presented with recurring episodes of
vomiting and also discuss the management plan
of our patient who had a chronic aortic dissection
as well as an underlying aortic aneurysm.

Keywords

Chronic aortic aneurysm, aortic dissection, medical, surgical, management.

2

Article Information

Correspondence

Mohammad Yusuf Beebeejaun, Empire Square East Suite 89, 34 Long Lane, London SE1 4NB, UK. Tel. +44.789.4466833 E-mail: yusuf.beebeejaun@doctors.org.uk

Received

2012-10-01

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