The Journal of Thoracic and Cardiovascular Surgery
Volume 135, Issue 5 , Pages 984-985 , May 2008

“We didn't expect dementia and diapers”: Reflections on the Nihon experience with type A aortic dissection in octogenarians

  • Martin F. McKneally, MD, PhD

      Affiliations

    • Corresponding Author InformationAddress for reprints: Martin F. McKneally, MD, PhD, Department of Surgery and Joint Centre for Bioethics, University of Toronto, 77 Forest Grove Dr, Toronto, ON M2K 1Z4, Canada.

Received 17 October 2007 ,Accepted 25 October 2007.

References 

  1. Hata M, Sezai A, Niino T, Yoda M, Unosawa S, Furukawa N, et al. Should emergency surgical intervention be performed for an octogenarians with type A aortic dissection?. J Thorac Cardiovasc Surg. 2008;135:1042–1046
  2. Neri E, Toscano T, Massetti M, Capannini G, Carone E, Tucci E, et al. Operation for acute type A aortic dissection in octogenarians: is it justified?. J Thorac Cardiovasc Surg. 2001;121:259–267
  3. McKneally MF. “We don't do that here”: reflections on the Siena experience with dissecting aneurysms of the thoracic aorta in octogenarians. J Thorac Cardiovasc Surg. 2001;121:2002–2003
  4. Walker WE. Surgery for acute aortic dissection in octogenarians. [letter] J Thorac Cardiovasc Surg. 2001;122:1049
  5. Ikonomidis JS. Operation for acute type A aortic dissection in octogenarians. [letter] J Thorac Cardiovasc Surg. 2001;122:1050
  6. Hagl C, Griepp RB. Acute type A dissection in octogenarians. [letter] J Thorac Cardiovasc Surg. 2001;122:1050–1051
  7. Jonson AR, Siegler M, Winslade WJ. Introduction. In:  Jonsen AR,  Siegler M,  Winslade WJ editor. Clinical ethics. 4th ed.. New York: McGraw-Hill; 1998;p. 1–12
  8. Beauchamp TL, Childress JF. Principles of biomedical ethics. 4th ed.. New York: Oxford University Press; 1994;p. 369-72
  9. David TE, Armstrong S, Ivanov J, Barnard S. Surgery for acute type A aortic dissection. Ann Thorac Surg. 1999;67:1999–2001

PII: S0022-5223(07)01969-1

doi: 10.1016/j.jtcvs.2007.10.068

The Journal of Thoracic and Cardiovascular Surgery
Volume 135, Issue 5 , Pages 984-985 , May 2008