Operative experience with 50 thoracic aortic dissections
| Autor: | Reed Wa, Stephens Db, Killen Da |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Aorta Thoracic Cumulative survival Suture (anatomy) medicine Methods Humans In patient Aorta Abdominal Aged business.industry Operative mortality General Medicine Middle Aged Surgery Aortic Aneurysm Dissection Aortic Dissection Acute type Operative death Thoracic aortic dissection Female business |
| Zdroj: | Southern medical journal. 75(12) |
| ISSN: | 0038-4348 |
| Popis: | From 1971 to 1981, 46 patients were subjected to 50 operations (graft replacement, 31; patch aortoplasty, ten; suture aortorraphy, six; bypass, one; and nonthoracic vascular procedure, two) for thoracic aortic dissection. Four patients had two separate dissections. Dissections were classified as type A (ascending thoracic aortic, 38) or type B (descending thoracic aortic, 12) and subgrouped as acute (less than 2 weeks) or chronic (greater than 2 weeks). There were seven hospital deaths and an operative mortality of 14%. The operative mortality for acute type A dissections was 20% and for chronic type A, 7%. There was one operative death in the 12 type B dissections. Four of the seven deaths occurred in patients with an iatrogenic dissection. Overall cumulative survival was 70% at four years, but dropped to 45% at six years. Survival was poorest in the acute type A group and was only 38.9% at five years. |
| Databáze: | OpenAIRE |
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