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Iranian Heart Journal، جلد ۲۶، شماره ۳، صفحات ۸۳-۹۱
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Six-Year Survival With Pharmacological Management in a Patient With Aneurysmal Aortic Dissection and Severe Heart Failure: A Case Report |
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| چکیده انگلیسی مقاله |
Prolonged survival with pharmacological management alone in patients with Stanford type A aneurysmal aortic dissection remains uncommon. We herein describe an elderly woman with severe heart failure (left ventricular ejection fraction [LVEF]: 15%–20%), a 9-cm aortic root aneurysm, and a restrictive dissection flap extending from the root to the abdominal aorta who has survived 6 years under medical therapy. The patient had a history of mild hypertension previously undertreated with oral antihypertensive agents. Remarkably, she maintained routine daily activities despite medical advice to the contrary. Serial examinations during this period demonstrated a 5% decline in LVEF and a 1 cm expansion of the aneurysm diameter, while the dissection flap remained stable. This case suggests that conservative pharmacological management in Stanford type A aortic dissection with large root aneurysm and severe LV systolic dysfunction (particularly in older, less active patients) may yield favorable outcomes. Nonetheless, we emphasize that this approach should only be considered for patients who are not candidates for other treatment options. (Iranian Heart Journal 2025; 26(3): 83-91) |
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| کلیدواژه‌های انگلیسی مقاله |
Aortic dissection,Aneurysm,Heart failure,Type A Stanford,Type 2 Debakey |
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| نویسندگان مقاله |
Fahimeh Mohseni |
Department of Addiction Studies, School of Medicine, Shahroud University of Medical Sciences, Shahroud, IR Iran.
Raheleh Rafaiee |
Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, IR Iran.
Mahdi Yousefi |
Student Research Committee, School of Medicine, Shahroud University of Medical Sciences, Shahroud, IR Iran.
Hossein Shiebani |
Clinical Research Development Unit, Imam Hossein Hospital, Shahroud University of Medical Science, Shahroud, IR Iran.
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| نشانی اینترنتی |
https://journal.iha.org.ir/article_223864_72289d88dbf0dd03677a613c4057063f.pdf |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
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