Diagnosis and treatment of asymptomatic aortic dissection / 中华外科杂志
Chinese Journal of Surgery
; (12): 179-181, 2007.
Article
in Zh
| WPRIM
| ID: wpr-334383
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the diagnostic and therapeutic methods of asymptomatic aortic dissection (AD).</p><p><b>METHODS</b>Ten patients of asymptomatic AD were treated from January 2002 to June 2006. The patients were followed up and their data were reviewed retrospectively.</p><p><b>RESULTS</b>Two patients of type A AD treated by open surgery and the 6 patients of type B AD received endovascular stent-graft repair were successfully treated, and no in-hospital death and severe complication occurred. Furthermore, all of them survived during follow-up. One of the 2 patients of type B AD received medical treatment still survive, but the other suddenly died during follow-up. The most possible cause of his death was fatal aorta rupture.</p><p><b>CONCLUSIONS</b>The diagnosis of asymptomatic AD could be missed or mistaken easily because of its asymptomatic. Keeping a high clinical index of suspicion is crucial in establishing the diagnosis of asymptomatic AD. The asymptomatic AD also has high risk of fatal aorta rupture associated with re-dissection and aneurysmal dilatation. Therefore, type A and B asymptomatic AD should be treated by open surgery or endovascular repair respectively if possible. Endovascular stent-graft repair is a safe and effective method for the treatment of type B asymptomatic AD.</p>
Full text:
1
Index:
WPRIM
Main subject:
Aortic Aneurysm
/
Therapeutics
/
Stents
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Diagnosis
/
Aortic Dissection
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
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Female
/
Humans
/
Male
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2007
Type:
Article