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Ann Thorac Surg 1987;44:389-393
© 1987 The Society of Thoracic Surgeons

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Articles

Primary Repair of Acute Ascending Aortic Dissection

From the Department of Cardiothoracic Surgery, The Medical College of Wisconsin, Milwaukee, WI

Accepted for publication March 30, 1987.

^* Address reprint requests to Dr. Olinger, Department of Cardiothoracic Surgery, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226

Primary repair of acute ascending aortic dissection was performed in 14 patients. Repair included resection of the intimal tear where applicable, a circumferential suture line in the ascending aorta at the site of the tear, and wrapping of the intrapericardial ascending aorta with Teflon felt to contain the distal residual false channel. The aortic valve was resuspended in 6 patients. The single operative death was unrelated to the method of repair. Two late deaths at 4 and 6 years were due to preexisting multisystem disease. In 1 patient, new aortic insufficiency with an isolated aneurysm of the noncoronary sinus of Valsalva developed at 26 months, and was repaired successfully at another institution. These results compare favorably with those reported by others employing more extensive surgical procedures for repair of acute ascending aortic dissection.

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