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diagnosis perioperative preoperative risk stratification bleeding dissection evaluation management preop procedures table vascular
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... disease • Cardiac ... surgery/catheterization ... • Thoracic ... opiates • Control heart
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... event, follow ACC algorithm ... risk (>5%): - Aortic ... Severe Aortic stenosis ... upper abdominal/thoracic
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
repair, colon resection ... or spinal) • Cardiac ... CABG, heart valve ... (e.g. aortic aneurysm ... bladder tumour resection
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