Sandbox vidit: Difference between revisions
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{{familytree | | | | | | | | | | A01 | | | | | | | | | | |A01=<div style="float: left; text-align: left; padding:1em">❑ Imaging study confirms aortic dissection <br> ❑ Check whether dissection occurred in ascending aorta </div> }} | {{familytree | | | | | | | | | | A01 | | | | | | | | | | |A01=<div style="float: left; text-align: left; padding:1em">❑ Imaging study confirms aortic dissection <br> ❑ Check whether dissection occurred in ascending aorta </div> }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | B01 |-| B02 |-| B03 | | |B01=<div style="float: left; text-align: left; padding:1em">❑ Assess suitability for surgery <br>❑ Patient stable for pre-op testing?</div> |B02= | {{familytree | | | | | | | | | | B01 |-| B02 |-| B03 | | |B01=<div style="float: left; text-align: left; padding:1em">❑ Assess suitability for surgery <br>❑ Patient stable for pre-op testing?</div> |B02=No |B03=Medical management }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | C01 | | | | | | | | | | |C01=Yes }} | {{familytree | | | | | | | | | | C01 | | | | | | | | | | |C01=Yes }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | D01 |-| D02 |-|.| | | |D01=<div style="float: left; text-align: left; padding:1em">❑ Age>40? </div>|D02= | {{familytree | | | | | | | | | | D01 |-| D02 |-|.| | | |D01=<div style="float: left; text-align: left; padding:1em">❑ Age>40? </div>|D02=No }} | ||
{{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | {{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | ||
{{familytree | | | | | | | | | | E01 | | | | | |!| | | |E01=Yes }} | {{familytree | | | | | | | | | | E01 | | | | | |!| | | |E01=Yes }} | ||
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{{familytree | | | | | | | | | | F01 |-| F02 |-|(| | | |F01=<div style="float: left; text-align: left; padding:1em">❑ Assess need for pre-operative coronary angiography <br> | {{familytree | | | | | | | | | | F01 |-| F02 |-|(| | | |F01=<div style="float: left; text-align: left; padding:1em">❑ Assess need for pre-operative coronary angiography <br> | ||
:❑ Known CAD? | :❑ Known CAD? | ||
:❑ Significant risk factors for CAD? </div>|F02= | :❑ Significant risk factors for CAD? </div>|F02=No}} | ||
{{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | {{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | ||
{{familytree | | | | | | | | | | G01 | | | | | |!| | | |G01=Yes }} | {{familytree | | | | | | | | | | G01 | | | | | |!| | | |G01=Yes }} | ||
{{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | {{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | ||
{{familytree | | | | | | | | | | H01 |-| H02 |-|(| | | |H01=<div style="float: left; text-align: left; padding:1em">❑ Perform angiography <br> Is significant CAD detected on angiography?</div> |H02= | {{familytree | | | | | | | | | | H01 |-| H02 |-|(| | | |H01=<div style="float: left; text-align: left; padding:1em">❑ Perform angiography <br> Is significant CAD detected on angiography?</div> |H02=No }} | ||
{{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | {{familytree | | | | | | | | | | |!| | | | | | |!| | | | }} | ||
{{familytree | | | | | | | | | | I01 | | | | | |!| | | |I01=Yes }} | {{familytree | | | | | | | | | | I01 | | | | | |!| | | |I01=Yes }} |
Revision as of 02:28, 23 March 2014
❑ Imaging study confirms aortic dissection ❑ Check whether dissection occurred in ascending aorta | |||||||||||||||||||||||||||||||||||||||||||||
❑ Assess suitability for surgery ❑ Patient stable for pre-op testing? | No | Medical management | |||||||||||||||||||||||||||||||||||||||||||
Yes | |||||||||||||||||||||||||||||||||||||||||||||
❑ Age>40? | No | ||||||||||||||||||||||||||||||||||||||||||||
Yes | |||||||||||||||||||||||||||||||||||||||||||||
❑ Assess need for pre-operative coronary angiography
| No | ||||||||||||||||||||||||||||||||||||||||||||
Yes | |||||||||||||||||||||||||||||||||||||||||||||
❑ Perform angiography Is significant CAD detected on angiography? | No | ||||||||||||||||||||||||||||||||||||||||||||
Yes | |||||||||||||||||||||||||||||||||||||||||||||
❑ Plan for CABG at the time of aortic dissection repair | |||||||||||||||||||||||||||||||||||||||||||||
❑ Perform urgent operative management | |||||||||||||||||||||||||||||||||||||||||||||
❑ Perform intra-operative assessment of aortic valve by TEE for presence of one of the following:
| |||||||||||||||||||||||||||||||||||||||||||||
No | Yes | ||||||||||||||||||||||||||||||||||||||||||||
❑ Perform graft replacement of ascending aorta ± aortic arch | ❑ Perform graft replacement of ascending aorta ± aortic arch ❑ Consider repair/replacement of aortic valve | ||||||||||||||||||||||||||||||||||||||||||||