Thorac Cardiovasc Surg 1985; 33(1): 8-15
DOI: 10.1055/s-2007-1014072
© Georg Thieme Verlag Stuttgart · New York

Late Results of the Surgical Treatment for Aortic Dissections

T. Viljanen, M. Landtman, R. Luosto
  • Department of Thoracic and Cardiovascular Surgery, and Department of Diagnostic Radiology, Helsinki University Central Hospital, Helsinki, Finland
Further Information

Publication History

1984

Publication Date:
07 May 2008 (online)

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.