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DOI: 10.1055/s-2007-1014072
Late Results of the Surgical Treatment for Aortic Dissections
Publication History
1984
Publication Date:
07 May 2008 (online)
![](https://www.thieme-connect.de/media/thoracic/198501/lookinside/thumbnails/10.1055-s-2007-1014072-1.jpg)
Summary
The results of 32 patients who had undergone surgery for aortic dissections were analyzed. Twenty-six patients were examined in hospital during the follow-up study while one patient refused the examination and 5 others had succumbed. The average follow-up was 42.6 months. Late functional status was generally good. Resuspension of the aortic annulus for incompetent aortic valves in type I and II dissections resulted in grave aortic regurgitation and death in one case, and in mild valvular incompetence in another case, while 5 patients had competent valves after resuspension.
Computed tomography (CT) and angiographic studies frequently revealed residual changes such as double lumen of the aorta. Five subsequent aortic aneurysms were discovered, 4 of them having been reoperated after the study was completed.
Periodical follow-up and screening of the aorta of operative survivors is recommended.
Key words
Aortic dissection - Surgery of aorta - Aortic computed tomography - Aortography