[HSF] Acute dissection - what now?

[Mark Levinson]

On Aug 12, 2007, at 7:50 PM, Prasanna Simha wrote:

> There was a study I think  by Hans Borst  wrt waiting and watching  
> for neurological recovery in patients with acute  
> dissection,neurological injury and above (I think) 80 years) - the  
> idea was whether there was  a difference in mortality by letting it  
> play out in this high risk group.(I hazily recollect it)

I think this was Steve Bolling at Michigan???    Delayed management  
of acute Type A with neurologic or visceral compromise.   Patient who  
improved were then
offered primary repair and survival rates were better than taking all  
comers....Controversial paper, but maybe in some severe dissections a  
worthwhile approach.

Mark M. Levinson, MD
Founder, Editor-in-Chief,
The Heart Surgery Forum
WWW: <http://www.hsforum.com>
Email: <mmLevinson at hsforum.com>