Prognosis of Stanford Type A Acute Aortic Dissection without Aortic Reconstruction.
10.4326/jjcvs.28.3
- VernacularTitle:Ｓｔａｎｆｏｒｄ Ａ型急性大動脈解離非手術例の予後 特にＳｔａｎｆｏｒｄ Ａ型早期血栓閉塞型大動脈解離の治療方針について
- Author:
Yoshitaka Ikeda
;
Yoshihiko Fujimura
;
Hiroshi Ito
;
Hidenori Gora
;
Kimikazu Hamano
;
Hiroshi Noda
;
Tomoe Katoh
;
Nobuya Zempo
;
Kensuke Esato
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1999;28(1):3-6
- CountryJapan
- Language:Japanese
-
Abstract:
Six cases without aortic reconstruction for 48 hours were encountered among 22 cases of Stanford type A acute aortic dissection from April, 1990 to July, 1996. They were one man and five women, with a mean age of 60.3 years old (from 52 to 82 years old). According to Hagiwara's definition, acute thrombotic aortic dissection (ATAD) was observed in four and acute opacified aortic dissection (AOAD) in two of six cases of Stanford type A acute aortic dissection without aortic reconstruction. One of the four ATAD cases was well-controlled by medical therapy, but the others could not be controlled and underwent aortic root reconstruction within 1 month. Two AOAD patients died due to rupture within 1 month. It is said in general that the patients with acute thrombotic aortic dissection can be treated medically, but we consider that they should be treated surgically because of the frequency of late rupture.
