[Early operation for acute type a closing dissection].

E Suenaga; H Suda; J Sadakari; Y Katayama; M Sato; N Yamada; H Fujita; J Yunoki

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PubMed · 11424492

[Early operation for acute type a closing dissection].

E Suenaga·H Suda·J Sadakari·Y Katayama·M Sato·N Yamada·H Fujita·J Yunoki

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Abstract

From March 1997 to January 2000, we operated eleven cases of Stanford type A acute closing dissection. The patients consisted of 4 men and 7 women with a mean age of 71 +/- 9 years. There were 9 cases (81%) of cardiac tamponade and 5 cases (45%) was in the shock state. There were no malperfusion and end organ ischemia. All cases were operated with deep hypothermia and circulatory arrest. Ascending aortic replacement were performed in 9 cases and 2 cases were performed total arch replacement. 6 cases (63%) were not required blood transfusion. There was one operative death and one hospital death. These result suggest that we had better to perform immediate graft replacement for Stanford type A acute closing dissection as soon as possible, even if there were no serious complications.

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Acute Disease Aged Aged, 80 and over Aortic Dissection Aorta Aortic Aneurysm Aortic Diseases Arterial Occlusive Diseases Blood Vessel Prosthesis Implantation Female Humans Male Middle Aged English Abstract Journal Article

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E Suenaga, H Suda, J Sadakari, Y Katayama, M Sato, N Yamada, H Fujita, J Yunoki. 2001. [Early operation for acute type a closing dissection].. https://pubmed.ncbi.nlm.nih.gov/11424492/

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