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CARDIAC
CABG
IMA graft to LAD has predicted
A. Patency of 80 % at 5 years
Aortic dissection
A DeBakey type III (Stanford type B) thoracic aortic dissection:
. A originates in the ascending aorta
B. requires prompt operation to prevent aneurysm rupture
C. most often occurs in association with Marfan syndrome
D. is usually accompanied by profound hypotension
E. is best diagnosed by transesophageal echocardiography (TEE
Aortic dissection
Aortic dissection
Thoracic aortic dissection is a catastrophic disease affecting mainly middle-aged and
dissections involving the ascending aorta and aortic arch, and DeBakey type III and
Stanford type B involving the descending thoracic aorta and originating from tears in
the aortic wall distal to the left subclavian artery.
Types I and II require operation.
The single best diagnostic study remains controversial, but because of its simplicity,
ready availability, noninvasiveness, and transportability, transesophageal
echocardiography (TEE) with color flow mapping has emerged as the best available
diagnostic study. Although 370aortography has been the gold standard, its sensitivity
(88%) is less than that of TEE (97% to 100%).
Aortic dissection
Dissections involving the ascending aorta generally require immediate