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Articolul urmator |
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Ultima descărcare din IBN: 2021-10-05 20:58 |
SM ISO690:2012 ONOFREI, Verginia, BARNACIUC, Sergiu, BOSTAN, Ghenadie, CIUBOTARU, Anatol. Disecția acută de aortă – urgenţă cardiochirurgicală majoră. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 429. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 429-429 | ||||||
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Background. Acute dissection of aorta is a life-saving emergency in surgery, associated with high morbidity and mortality rate. Due to the extremely varied clinical polymorphism and the severe complications that occures quickly the patient's present difficulties in diagnosis and postoperative treatment. Objective of the study. Evoluation of preoperatively and postoperatively condition of the critical patient Material and Methods. Within the clinic were studied 57 operated patients, which were divided into 2 categories: group A - 49 patients (86%) with acute dissection of aorta and group B - 8 patients (14%) with acute dissection of aorta in association with Marfan syndrome. The differences between the two groups were analyzed regarding the preoperative characteristics, the surgical techniques, the immediate and distant results. Results. Patients in group A (57p.) have a postoperative lethality rate about 28.5%, compare with the 25% (8p.) postoperative lethality in group B. Patients in group B were significantly younger (B: 34.2 ± 11 years) vs. (A: 58.3 ± 9 years). High blood pressure was found mainly in group A. The incidence of postoperative complications, as well as intraoperative and 30-day mortality were similar. Following the remote postoperative results, the mortality in group B is lower. Conclusion. Postoperative evolution was similar in acute aortic dissection with or without Marfan syndrome, being associated with high lethality. Surgical tactics and behavior depend on the spread of the dissection during the aorta. |
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Cuvinte-cheie aortic dissection, marfan syndrome, aortic rupture, cardiac emergency, disecţie de aortă, sindrom marfan, ruptura de aortă, urgență cardiochirurgicală |
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