Objective To retrospectively analyze the surgical
methods and
efficacy in 70 cases of type A
aortic dissection patients over 65 years old.
Methods From January 2005 to May 2012,70 type A
aortic dissection patients over 65 years old received surgical
treatment.Among them,there were 47
males aged 65 to 78 years old with mean 71,23
females,
aged 65 to 72 years old with mean 68.55 cases were acute onset,while 15 cases were chronically onset.Different surgical
methods were selected depend on
patients' situations.We followed up all
patients after discharged from
hospital to continue to observe their
health situation and evaluate the
therapeutic effects.Results After
surgery,eight
patients died in the
hospital,62
patients were recovered and discharged from the
hospital.The mortality rate is 11.4%.During the follow up period from 3 to 72 months,there were no dead,
aneurysm rupture and others severe
complications.9 cases received endovascular
graft exclusion within 6 months after discharged from
hospital.The
survival patients were satisfactory healed with their
daily living activity resumed.Conclusion For over 65 years old
patients with
aortic dissection,the accurate and rapid selection of surgical
method could improve the
survival rate and the
quality of life with a lower occurrence rate of
complications.