The management of localized abdominal aortic dissections

Citations of this article
Mendeley users who have this article in their library.


Aortic dissections limited to the abdominal aorta occur infrequently. We have identified four cases of abdominal aortic dissection and have reviewed these in combination with 43 previously reported cases to identify factors that influence the prognosis and management of this disease. Abdominal aortic dissections are similar to thoracic dissections in their presentation, with acute shearing pain and systolic hypertension occurring commonly. Although the diagnosis may be made by ultrasonography or CT scanning, angiography is the definitive diagnostic study. Factors found to be associated with high mortality include presentation with acute pain (p < 0.0003), involvement of visceral vessels (p < 0.02), and rupture (p < 0.000002). Chronicity appears to be protective (p < 0.04), although chronic dissections may present acutely. Although prosthetic replacement of the involved aorta is the treatment of choice in most cases, nonoperative management with regular follow-up can be considered in asymptomatic chronic dissections. © 1988.




Graham, D., Alexander, J. J., Franceschi, D., & Rashad, mid F. (1988). The management of localized abdominal aortic dissections. Journal of Vascular Surgery, 8(5), 582–591.

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free