title: Acute and chronic dissections of the abdominal aorta: clinical features and treatment.
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.
authors: Service of Vascular Surgery, University of Paris Val de Marne, Henri Mondor Hospital, Créteil, France.
authors: J P
authors: JP
authors: Becquemin
authors: P
authors: P
authors: Deleuze
authors: J
authors: J
authors: Watelet
authors: J
authors: J
authors: Testard
authors: D
authors: D
authors: Melliere
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery*; D000792:Angiography; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D014057:Tomography, X-Ray Computed
chemical_list: D011093:Polyethylene Terephthalates