• J P Becquemin, P Deleuze, J Watelet, J Testard, and D Melliere.
• Service of Vascular Surgery, University of Paris Val de Marne, Henri Mondor Hospital, Créteil, France.
• J. Vasc. Surg. 1990 Mar 1; 11 (3): 397-402.

AbstractWe report seven cases of dissection of the abdominal aorta. Three patients had acute back pain, whereas four patients had more chronic courses. In six cases, as a result of the palpation of a pulsatile abdominal mass, clinical diagnosis was an atheromatous aneurysm. Angiography and CT scanning demonstrated a dissected abdominal aorta and a normal thoracic aorta. Six patients with an infrarenal dissection were treated by replacement of the aorta with a Dacron prothesis, and one patient with an suprarenal dissection was treated conservatively. With a mean follow-up of 3 years, all patients were alive and free of symptoms. These results favor graft replacement in case of infrarenal aortic dissection and more selective surgical indications in suprarenal aortic dissection.

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