title: Acute aortic arch dissection: reevaluation of the indications for medical and surgical therapy.
abstract: Of 42 patients with dissection of the aorta, 4 had important arch involvement. Results were good in 2 patients treated medically. In two other patients wrapping the arch with a Dacron graft successfully prevented fatal hemorrhage. This technique avoids the need for arch replacement in selected cases. From this experience and a review of others a flow sheet was developed to guide decision-making in the surgical and medical management of patients with aortic dissection.
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery / Q000628:therapy*; D001014:Aortic Aneurysm / Q000601:surgery / Q000628:therapy*; D001807:Blood Vessel Prosthesis / Q000379:methods*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011093:Polyethylene Terephthalates
chemical_list: D011093:Polyethylene Terephthalates