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Care needs to be taken not to duplicate. Dissection I take to mean the splitting of layer of a blood vessel, vs aneurysm to be a stretched dilatation. An aneurysm may go on to dissect or rupture. This is a really comprehensive article, well done, and great care needs be taken in how we move any information over to Aortic Aneurysm. (merging into one article will be too long, but splitting risk duplication or incomplete discussion in any one article). David Ruben 20:19, 15 August 2005 (UTC)
This article is full of medical jargon. It needs to be made more accessible to the general reader. -- Beland 03:00, 17 August 2005 (UTC)
I disagree with the cleanup request. There is nothing wrong with the tone (underlying emotion of the article). I disagree with the accusation of the use of jargon. The language seems simple as far as is possible, with the unavoidable used of technical vocabulary, which is consistently well defined. As such, the text is understandable to the non-expert and is therefore not jargon. The introduction is excellent for the general reader. As the article progesses, the complexity increases only as is necessary. The authors of this article are to be congratulated. Beland needs to be more specific. -- Anthony Duff 21:51, 14 September 2005 (UTC)
With a bit of co-operation, it could even be FAC. NCurse work 10:51, 5 July 2006 (UTC)
Is anyone aware of known genetic predispositions specifically to aortic dissection? Are there any foundations pursuing research on this? In my own family, aortic dissection has caused the death of my grandmother (during childbirth with my mother), my aunt, a cousin, and nearly caused the death of my uncle (who survived by a matter of minutes), all people in otherwise excellent health. We have not been able to find anything about this kind of predisposition anywhere. None of my family has any other symptoms of Marfan, but with such a high rate of the exact same condition, it seems like there is likely something congential about it... Does anyone have any information to add to the article, or at least to point me in the right direction? - Porlob 21:07, 6 October 2006 (UTC)
Partial thrombosis of the false lumen is a negative prognostic indicator [1] JFW | T@lk 08:52, 7 August 2007 (UTC)
Personally, as a sonographer I have diagnosed previously unknown dissections by doing a thorough transthoracic exam. Transthoracic echo may be not be as sensitive as transesophageal echo or CT in diagnosing the full extent of he dissection, especially beyond the aortic arch, but considerably sensitive to the presence of the condition in the proximal aorta up through the arch. —Preceding unsigned comment added by 170.223.52.149 ( talk) 20:10, 5 August 2008 (UTC)
doi: 10.1016/S0140-6736(08)60994-0 recent Lancet review. JFW | T@lk 21:22, 27 August 2008 (UTC)
User:Delldot/img delldot ∇. 08:05, 28 October 2008 (UTC)
>6cm is not an indication of emergency surgery. I haven't access to the reference in order to disprove it. —Preceding unsigned comment added by 89.100.143.244 ( talk) 20:28, 19 March 2009 (UTC)
Do you think this would add anything?
Doc James ( talk · contribs · email) 11:18, 12 December 2010 (UTC)
Expect a fair amount of extra traffic as Richard Holbrooke seems to have died from aortic dissection. JFW | T@lk 08:56, 15 December 2010 (UTC)
... seems to have arrived: doi:10.1161/CIRCULATIONAHA.110.988568 JFW | T@lk 15:24, 4 December 2012 (UTC)
... for emergency physicians. doi:10.1016/j.emc.2011.12.001 JFW | T@lk 15:30, 4 December 2012 (UTC)
And a recent review in the BMJ doi:10.1136/bmj.d8290 JFW | T@lk 15:36, 4 December 2012 (UTC)
I'm planning an update drive for this article with the eventual aim of producing a Good Article. The 2010 guideline (mentioned above) is very comprehensive and could serve as a scaffold for significant updates. It goes into a fair bit of detail on the management, e.g. malperfusion (a concept not currently mentioned by name in the article), penetrating aortic ulcer as a cause, underlying genetic syndromes and who to screen, etc. Various other recommendations are made, many of which could be included.
Anyone willing to help is welcome. JFW | T@lk 17:15, 9 December 2012 (UTC)
Hi! I'd update the prognosis because the paper stating that there's a 40% chance of immediate death from an AoD references papers for that from the years 1958 and 1972 respectively! In another paper referenced there from 1991, chances of dying went down to 25% within the first 24hours! Modern medicine has drastically increased the chances of surviving an AoD and I think it would be important to update that accordingly. Adding a table from the German wikipedia (with translated text) which references a study from the university of Michigan from 2002. 134.61.102.141 ( talk) 18:48, 10 February 2017 (UTC) Liza.
For a good update, I will list some sources here:
Oddly, there is no separate MeSH entry for aortic dissection, so the searching is more complicated than it should be. JFW | T@lk 12:36, 26 May 2013 (UTC)
Endpoints for surgery studies doi:10.1161/CIRCULATIONAHA.113.006421. JFW | T@lk 14:18, 17 April 2014 (UTC)
D-dimer has been investigated as a biomarker to exclude aortic dissection in low probability patients:
Probably time we add these sources, even if guidelines don't discuss this yet. JFW | T@lk 11:43, 10 June 2015 (UTC)
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Friends, is it just me or anyone else feels the article should be split into type A and type B Aortic Dissection? Most sources treat them separately. Cinadon 36 18:12, 4 February 2023 (UTC)
![]() | Aortic dissection is a former featured article candidate. Please view the links under Article milestones below to see why the nomination failed. For older candidates, please check the archive. | ||||||||||||
| |||||||||||||
Current status: Former featured article candidate |
![]() | This article is rated B-class on Wikipedia's
content assessment scale. It is of interest to the following WikiProjects: | ||||||||||||||||||||||||||
|
![]() | Ideal sources for Wikipedia's health content are defined in the guideline
Wikipedia:Identifying reliable sources (medicine) and are typically
review articles. Here are links to possibly useful sources of information about Aortic dissection.
|
Care needs to be taken not to duplicate. Dissection I take to mean the splitting of layer of a blood vessel, vs aneurysm to be a stretched dilatation. An aneurysm may go on to dissect or rupture. This is a really comprehensive article, well done, and great care needs be taken in how we move any information over to Aortic Aneurysm. (merging into one article will be too long, but splitting risk duplication or incomplete discussion in any one article). David Ruben 20:19, 15 August 2005 (UTC)
This article is full of medical jargon. It needs to be made more accessible to the general reader. -- Beland 03:00, 17 August 2005 (UTC)
I disagree with the cleanup request. There is nothing wrong with the tone (underlying emotion of the article). I disagree with the accusation of the use of jargon. The language seems simple as far as is possible, with the unavoidable used of technical vocabulary, which is consistently well defined. As such, the text is understandable to the non-expert and is therefore not jargon. The introduction is excellent for the general reader. As the article progesses, the complexity increases only as is necessary. The authors of this article are to be congratulated. Beland needs to be more specific. -- Anthony Duff 21:51, 14 September 2005 (UTC)
With a bit of co-operation, it could even be FAC. NCurse work 10:51, 5 July 2006 (UTC)
Is anyone aware of known genetic predispositions specifically to aortic dissection? Are there any foundations pursuing research on this? In my own family, aortic dissection has caused the death of my grandmother (during childbirth with my mother), my aunt, a cousin, and nearly caused the death of my uncle (who survived by a matter of minutes), all people in otherwise excellent health. We have not been able to find anything about this kind of predisposition anywhere. None of my family has any other symptoms of Marfan, but with such a high rate of the exact same condition, it seems like there is likely something congential about it... Does anyone have any information to add to the article, or at least to point me in the right direction? - Porlob 21:07, 6 October 2006 (UTC)
Partial thrombosis of the false lumen is a negative prognostic indicator [1] JFW | T@lk 08:52, 7 August 2007 (UTC)
Personally, as a sonographer I have diagnosed previously unknown dissections by doing a thorough transthoracic exam. Transthoracic echo may be not be as sensitive as transesophageal echo or CT in diagnosing the full extent of he dissection, especially beyond the aortic arch, but considerably sensitive to the presence of the condition in the proximal aorta up through the arch. —Preceding unsigned comment added by 170.223.52.149 ( talk) 20:10, 5 August 2008 (UTC)
doi: 10.1016/S0140-6736(08)60994-0 recent Lancet review. JFW | T@lk 21:22, 27 August 2008 (UTC)
User:Delldot/img delldot ∇. 08:05, 28 October 2008 (UTC)
>6cm is not an indication of emergency surgery. I haven't access to the reference in order to disprove it. —Preceding unsigned comment added by 89.100.143.244 ( talk) 20:28, 19 March 2009 (UTC)
Do you think this would add anything?
Doc James ( talk · contribs · email) 11:18, 12 December 2010 (UTC)
Expect a fair amount of extra traffic as Richard Holbrooke seems to have died from aortic dissection. JFW | T@lk 08:56, 15 December 2010 (UTC)
... seems to have arrived: doi:10.1161/CIRCULATIONAHA.110.988568 JFW | T@lk 15:24, 4 December 2012 (UTC)
... for emergency physicians. doi:10.1016/j.emc.2011.12.001 JFW | T@lk 15:30, 4 December 2012 (UTC)
And a recent review in the BMJ doi:10.1136/bmj.d8290 JFW | T@lk 15:36, 4 December 2012 (UTC)
I'm planning an update drive for this article with the eventual aim of producing a Good Article. The 2010 guideline (mentioned above) is very comprehensive and could serve as a scaffold for significant updates. It goes into a fair bit of detail on the management, e.g. malperfusion (a concept not currently mentioned by name in the article), penetrating aortic ulcer as a cause, underlying genetic syndromes and who to screen, etc. Various other recommendations are made, many of which could be included.
Anyone willing to help is welcome. JFW | T@lk 17:15, 9 December 2012 (UTC)
Hi! I'd update the prognosis because the paper stating that there's a 40% chance of immediate death from an AoD references papers for that from the years 1958 and 1972 respectively! In another paper referenced there from 1991, chances of dying went down to 25% within the first 24hours! Modern medicine has drastically increased the chances of surviving an AoD and I think it would be important to update that accordingly. Adding a table from the German wikipedia (with translated text) which references a study from the university of Michigan from 2002. 134.61.102.141 ( talk) 18:48, 10 February 2017 (UTC) Liza.
For a good update, I will list some sources here:
Oddly, there is no separate MeSH entry for aortic dissection, so the searching is more complicated than it should be. JFW | T@lk 12:36, 26 May 2013 (UTC)
Endpoints for surgery studies doi:10.1161/CIRCULATIONAHA.113.006421. JFW | T@lk 14:18, 17 April 2014 (UTC)
D-dimer has been investigated as a biomarker to exclude aortic dissection in low probability patients:
Probably time we add these sources, even if guidelines don't discuss this yet. JFW | T@lk 11:43, 10 June 2015 (UTC)
Hello fellow Wikipedians,
I have just modified one external link on Aortic dissection. Please take a moment to review my edit. If you have any questions, or need the bot to ignore the links, or the page altogether, please visit this simple FaQ for additional information. I made the following changes:
When you have finished reviewing my changes, you may follow the instructions on the template below to fix any issues with the URLs.
This message was posted before February 2018.
After February 2018, "External links modified" talk page sections are no longer generated or monitored by InternetArchiveBot. No special action is required regarding these talk page notices, other than
regular verification using the archive tool instructions below. Editors
have permission to delete these "External links modified" talk page sections if they want to de-clutter talk pages, but see the
RfC before doing mass systematic removals. This message is updated dynamically through the template {{
source check}}
(last update: 5 June 2024).
Cheers.— InternetArchiveBot ( Report bug) 21:26, 7 July 2017 (UTC)
Friends, is it just me or anyone else feels the article should be split into type A and type B Aortic Dissection? Most sources treat them separately. Cinadon 36 18:12, 4 February 2023 (UTC)