Abstract
C Z o ut right upper limb images revealed a distal occlusion f brachial artery. She underwent a successful brachial mbolectomy under local anaesthesia with a patch angiolasty. Her dissection was managed conservatively with trict blood pressure control. A further CT scan done n day 10 showed no evidence of dissection. Patient was symptomatic at this stage and on good blood pressure ontrol. Type A aortic dissections are most often managed with urgical repair. Feldman et al. [1] have reported that medcal management is to be considered for high risk cases. hey have reported that if the presentation is after 48 h of hest pain then there is no significant difference between urgical and medical management in 10 years although he trend points to better survival in surgical group. Such onclusions have been reached by other like Chan et al 2]. In our institute we almost always consider surgery nless the risks are too high. This type of type A dissecion is very uncommon [3]. This patient was stable after
Published Version
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