Management and long-term outcome of aortic dissection.

Published

Journal Article

All 163 patients admitted to one institution between 1975 and 1988 with aortic dissection were reviewed. Type I and type II patients received grafting of the ascending aorta, with an intraoperative mortality rate of 11%. For type III dissection, management was medical in 53 patients, while 19 required surgery for aortic rupture or expansion, with an intraoperative mortality rate of 11%. The 9- or 10-year survival rates were 29%, 46%, and 29% for types I, II, and III respectively. Of 135 patients with primary aortic dissection, 17 (13%) required subsequent aortic surgery. Cause of late death was other cardiovascular disease in 38%, rupture of another aortic segment in 18%, sudden death in 24%, and other medical conditions in 21%. Although operative therapy for types I and II dissections and reserving operation for selected type III dissections provides acceptable long-term survival, careful follow-up is necessary due to concurrent cardiovascular disease and residual aortic disease.

Full Text

Duke Authors

Cited Authors

  • Glower, DD; Speier, RH; White, WD; Smith, LR; Rankin, JS; Wolfe, WG

Published Date

  • July 1991

Published In

Volume / Issue

  • 214 / 1

Start / End Page

  • 31 - 41

PubMed ID

  • 2064469

Pubmed Central ID

  • 2064469

International Standard Serial Number (ISSN)

  • 0003-4932

Digital Object Identifier (DOI)

  • 10.1097/00000658-199107000-00006

Language

  • eng

Conference Location

  • United States