Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo / Surgical results among 100 patients with type A aortic dissection: Retrospective review
Rev. méd. Chile
;
138(8): 982-987, ago. 2010. ilus, tab
Article
Dans Espagnol
| LILACS
| ID: lil-567609
ABSTRACT
Background:
Tipe A aortic dissection involves the ascending aorta and has high mortality rates without surgical treatment.Aim:
To report the results of surgical treatment of type A aortic dissection. Material andMethods:
Retrospective review of medical records of 100 patients aged 17 to 78 years (73 percent males) operated between January 2000 and August 2008, for type A aortic dissection. Follow up was performed with telephone interviews and review of national death records.Results:
Eighty three percent of patients had an acute dissection. Operative mortality was 27 and 20 percent for patients with acute and chronic dissection, respectively. Mortality was 50 percent among patients aged 70 years or more, compared with 21 percent among their younger counterparts, The most common complication was bleeding that required a new surgical procedure in 18 percent of patients. Actuarial survival was 70 percent at five years. Cardiovascular problems caused the death of two of the nine patients that died during follow up.Conclusions:
Surgical mortality among patients with type A aortic dissection was higher among patients with acute episodes and those aged 70 years or more.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Anévrysme de l'aorte
/
Type d'étude:
Étude observationnelle
/
Étude pronostique
/
Facteurs de risque
Limites du sujet:
Adolescent
/
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2010
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS