慢性A型主动脉夹层初次介入治疗后的护理与再手术。

Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress Pub Date : 1990-01-01

M Karck, J Laas, M Heinemann, H G Borst

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引用次数: 0

摘要

未标记:在4/78至9/89期间，44例患者(例)接受了CADA的初步修复。3分。术后早期死亡。36分。术后随访3个月至9.7年(平均3.1年)，行CT、DSA及超声心动图检查。8分。12例主动脉再手术，其中10例因动脉瘤持续或复发。结论:对CADA患者行升主动脉根治性置换术可预防动脉瘤复发。系统的随访有助于早期识别和修复进行性慢性或新的下游主动脉病理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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[After care and reoperation after primary intervention in chronic type A aortic dissection].

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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Langenbecks Archiv fur Chirurgie. Supplement II, Verhandlungen der Deutschen Gesellschaft fur Chirurgie. Deutsche Gesellschaft fur Chirurgie. Kongress

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