Management and long-term outcome of aortic dissection.
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