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PubMed · 15035074

[Management for type A acute dissection].

T Sugita·M Matsumoto·J Nishizawa·K Matsuyama·Y Kawanishi·Y Tokuda·K Yoshida·K Uehara·T Matsuo
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Abstract

From March 1998 to May 2002, we experienced 46 patients with type A acute dissection (AAD). Fifteen patients managed initially with conservative treatment because of intramular hematoma (IH, n = 10), broad cerebral infarction (n = 3), others (n = 2). One who diagnosed IH at admission progressed to AAD and underwent surgery. However his diagnosis of IH at admission was proved to be misdiagnosis retrospectively. In 8 of the remaining 9 patients, hematoma disappeared during the follow-up of 6 months to 1 year. In patients with broad cerebral infarction, 2 died early after admission and 1 discharged with hemiplegia. Thirty-two patients underwent surgery and 1 with preoperative broad cerebral infarction died 36 days after surgery. In the remaining 31 patients, 30 patients discharged ambulatory.

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Acute DiseaseAdultAgedAged, 80 and overAortic DissectionAortic AneurysmBlood Vessel Prosthesis ImplantationCerebral InfarctionFemaleFollow-Up StudiesHematomaHumansMaleMiddle AgedPrognosisTomography, X-Ray ComputedEnglish AbstractJournal Article

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T Sugita, M Matsumoto, J Nishizawa, K Matsuyama, Y Kawanishi, Y Tokuda, K Yoshida, K Uehara, T Matsuo. 2004. [Management for type A acute dissection].. https://pubmed.ncbi.nlm.nih.gov/15035074/

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