{"title":"[After care and reoperation after primary intervention in chronic type A aortic dissection].","authors":"M Karck, J Laas, M Heinemann, H G Borst","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Unlabelled: </strong>Between 4/78 und 9/89 44 patients (pts.) underwent primary repair of CADA. 3 pts. died early postoperatively. 36 pts. were followed-up 3 months to 9.7 years (means = 3.1 years) postoperatively with CT, DSA and echocardiography. 8 pts. underwent 12 aortic reoperations, in 10 cases due to persistent or recurrent aneurysms.</p><p><strong>Conclusions: </strong>In CADA radical replacement of the Ascending Aorta is advisable to prevent recurrent aneurysms formation. Systematic follow-up facilitates early recognition and repair of progressively chronic or new downstream aortic pathology.</p>","PeriodicalId":77567,"journal":{"name":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","volume":" ","pages":"499-501"},"PeriodicalIF":0.0000,"publicationDate":"1990-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Unlabelled: Between 4/78 und 9/89 44 patients (pts.) underwent primary repair of CADA. 3 pts. died early postoperatively. 36 pts. were followed-up 3 months to 9.7 years (means = 3.1 years) postoperatively with CT, DSA and echocardiography. 8 pts. underwent 12 aortic reoperations, in 10 cases due to persistent or recurrent aneurysms.
Conclusions: In CADA radical replacement of the Ascending Aorta is advisable to prevent recurrent aneurysms formation. Systematic follow-up facilitates early recognition and repair of progressively chronic or new downstream aortic pathology.
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