Operated DeBakey Type III Dissecting Aortic Aneurysm: Review of 12 cases.
10.3348/jkrs.1995.32.6.875
- Author:
Ho Kyun KIM
;
Hi Eun MOON
;
Chang Yul HAN
;
Ghi Jai LEE
;
Sang Joon OH
;
Sei Ra YOON
;
Jae Chan SHIM
- Publication Type:Case Report
- MeSH:
Acute Kidney Injury;
Aneurysm;
Aorta;
Aortic Aneurysm*;
Aortic Rupture;
Aortography;
Arteries;
Back Pain;
Bronchi;
Deglutition Disorders;
Dyspnea;
Esophagus;
Hemoptysis;
Hoarseness;
Humans;
Magnetic Resonance Imaging;
Paraplegia;
Pericardial Effusion;
Renal Artery;
Retrospective Studies;
Rupture;
Thorax
- From:Journal of the Korean Radiological Society
1995;32(6):875-882
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We evaluated the indications of operation and radiologic findings in 12 operated DeBakey type III aortic dissections. MATERIAL AND METHODS: We retrospectively reviewed radiologic findings of 12 operated DeBakey type III aortic dissections, using CT, MRI, or aortography, and correlations were made with clinical course of the patients. RESULTS: Three cases were uncomplicated dissections. There were aneurysm rupture in 4 cases, impending rupture in 4 cases, occlusion of common lilac artery in 2 cases, occlusion of renal artery in 1 case, and compression of bronchus and esophagus by dilated aorta in 1 case. Associated clinical sign and symptoms were chest and back pain in 12 cases, claudication in 3 cases, dyspnea and dysphagia in 1 case, hoarseness in 1 case, and hemoptysis in 1 case. Post-operative complications were death from aneurysm rupture in 1 case, paraplegia in 2 cases, acute renal failure in 3 cases, and hemopericardium in 1 case. CONCLUSION: Although medical therapy is preferred in management of DeBakey type Ill aortic dissection, surgical treatment should be considered in patients with radiological findings of aortic rupture, impending rupture, occlusion of aortic major branches.
