Electrocardiographic changes in patients with type A acute aortic dissection. Incidence, patterns and underlying mechanisms in 159 cases.

Background: Not only symptoms but electrocardiographic (ECG) changes mimicking acute coronary syndrome as well have been known to develop in acute aortic dissection (AAD). However, detailed information is lacking.

Objective: We sought to evaluate incidence, patterns, and underlying mechanisms for acute ECG changes in type A AAD.

Effectiveness of diagnostic paracentesis and ascites analysis for suspected strangulation obstruction.

Strangulation obstruction is a surgical emergency, but its accurate diagnosis and timely surgical treatment are still matters of debate. We conducted a prospective observational study. We performed diagnostic paracentesis preoperatively for patients with suspected strangulation obstruction or, if that was impossible, we obtained ascites at the time of laparotomy.

[Damage control in vascular trauma].

During the era of frequent occurrence of motor vehicle accidents and criminal injuries with lethal weapons, trauma surgeons have accumulated much experience in managing severely injured victims. Very often, efforts to proceed with definitive repair at initial surgery led to patient death despite the control of anatomic bleeding. Damage control methods were thus developed to save patients who otherwise would hove died.