Management and long-term outcome of aortic dissection.

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