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  • Title: Acute and chronic dissections of the abdominal aorta: clinical features and treatment.
    Author: Becquemin JP, Deleuze P, Watelet J, Testard J, Melliere D.
    Journal: J Vasc Surg; 1990 Mar; 11(3):397-402. PubMed ID: 2138230.
    Abstract:
    We report seven cases of dissection of the abdominal aorta. Three patients had acute back pain, whereas four patients had more chronic courses. In six cases, as a result of the palpation of a pulsatile abdominal mass, clinical diagnosis was an atheromatous aneurysm. Angiography and CT scanning demonstrated a dissected abdominal aorta and a normal thoracic aorta. Six patients with an infrarenal dissection were treated by replacement of the aorta with a Dacron prothesis, and one patient with an suprarenal dissection was treated conservatively. With a mean follow-up of 3 years, all patients were alive and free of symptoms. These results favor graft replacement in case of infrarenal aortic dissection and more selective surgical indications in suprarenal aortic dissection.
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