Treatment of Thoracic Aortic Aneurysm: Role of Earlier Intervention

被引：10
作者：
Ziganshin, Bulat A. [1 ,2 ]
Elefteriades, John A. [1 ]
机构：
[1] Yale Univ, Yale New Heaven Hosp, Sch Med, Aort Inst, 789 Howard Ave,Clin Bldg,CB317, New Haven, CT 06519 USA
[2] Kazan State Med Univ, Dept Surg Dis 2, Kazan, Russia
来源：
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY | 2015年 / 27卷 / 02期
关键词：
thoracic aortic aneurysm; aortic dissection; aortic rupture; early intervention;
D O I：
10.1053/j.semtcvs.2015.07.006
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
For this article, we are asked to make a case for early surgery in thoracic aortic aneurysm (TAA) disease. We are able to accumulate arguments in favor of early surgery. Specifically, (1) it is impossible to predict the onset of aortic dissection with complete accuracy. (2) Aortic dissection that is allowed to occur has high early mortality and impaired late survival. (3) Aortic surgery is very safe in the present era. (4) Living with a TAA, the inherent risk of aortic dissection has a high emotional burden. For these reasons, a case for early prophylactic surgery in TAA disease can fairly be made. © 2015 Elsevier Inc.
引用
收藏
页码：135 / 143
页数：9
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