Annals of surgery
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As such, the natural history of MPD-involved IPMN is poorly understood. ⋯ Primary surveillance of mixed-type IPMN may be a reasonable strategy in select patients. Diffuse MPD dilation, serum CA19-9, serum alkaline phosphatase, and absence of extrapancreatic cysts predict patients likely to progress during primary surveillance.
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Endovascular approaches (thoracic endovascular aortic repair) have revolutionized treatment of thoracic aortic disease. ⋯ Thoracic endovascular aortic repair can be performed with acceptable results in a high-risk population. The risk of treatment failure persists, underscoring the importance of continued long-term endograft surveillance, but this does not seem to impact late mortality.