Aortic dissection surgery: experience of 78 cases.

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  • Author(s): Prieto D;Prieto D; Filipe CS; Eugénio L; de Oliveira JF; Antunes MJ
  • Source:
    Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology [Rev Port Cardiol] 2003 Oct; Vol. 22 (10), pp. 1227-36.
  • Publication Type:
    Journal Article
  • Language:
    English; Portuguese
  • Additional Information
    • Source:
      Publisher: Lisbon Country of Publication: Portugal NLM ID: 8710716 Publication Model: Print Cited Medium: Print ISSN: 0870-2551 (Print) Linking ISSN: 08702551 NLM ISO Abbreviation: Rev Port Cardiol Subsets: MEDLINE
    • Publication Information:
      Publication: 2011- : Lisbon : Elsevier
      Original Publication: Lisboa : Sociedade Portuguesa De Cardiologia
    • Subject Terms:
      Aortic Dissection/*surgery ; Aortic Aneurysm/*surgery; Adolescent ; Adult ; Aged ; Aortic Dissection/mortality ; Aortic Aneurysm/mortality ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Vascular Surgical Procedures/methods
    • Abstract:
      From May 1990 to January 2001, 78 patients underwent surgery for aortic dissection, 68 (87%) of type A. Presentation was acute in 55 patients (71%). For type A dissection, in-hospital mortality was 13% (9 patients) and late mortality was 16%. For type B dissection, in-hospital and late mortality were both 30% (3 patients). The follow-up was complete and medical and imaging controls were performed periodically. Computerized axial tomography has shown persistence of distal aortic dissection in 18 patients, one of whom maintained dissection of the supraaortic trunks with false lumen thrombosis. Six patients maintained signs of dissection in the thoracic and abdominal aorta with patent false lumen. In another eight patients the false lumen was thrombosed. In 3 cases the dissection was located in the abdominal aorta. Two patients developed pseudoaneurysms of the thoracic aorta, one of whom was reoperated due to symptoms of dysphagia and chest pain, with angiographic signs of probable rupture of the aorta. Periodic imaging monitoring is essential, as it allows assessment of the extent of residual aortic disease and its evolution, with early detection of possible complications. This will enable prompt and safe action in those patients who may benefit from reoperation.
    • Publication Date:
      Date Created: 20040108 Date Completed: 20040213 Latest Revision: 20221207
    • Publication Date:
      20221213
    • Accession Number:
      14708336