| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1990;49:580-584
© 1990 The Society of Thoracic Surgeons
Division of Thoracic and Cardiovascular Surgery, Surgical Center, Hannover Medical School, Hannover, Federal Republic of Germany
* Address reprint requests to Dr Heinemann, Division of Thoracic and Cardiovascular Surgery, Surgical Center, Hannover Medical School, Konstanty-Gutschow-Str. 8, D-3000 Hannover, Federal Republic of Germany.
Between April 1979 and May 1989, 86 patients underwent emergency operation for acute type A aortic dissection. Sixty-four (74.4%) survived. None of the survivors died of late aortic complications. Fifty-eight patients were followed 3 months to 10 years (mean follow-up, 3.2 years) postoperatively with computed tomography and digital subtraction angiography. Dilatation of the distal aorta (diameter size range, 6 to 10.5 cm) developed in 10 patients (17%). Six patients underwent replacement of the descending aorta 1 month to 21 months (mean period, 8.5 months) after aortic dissection repair. Two of them had third-stage thoracoabdominal replacement. In 2 patients, replacement of the descending aorta was scheduled; 1 died before reoperation and 1 refused the procedure. Two patients underwent aortic arch replacement; it is scheduled for another (fourth stage). There were no deaths among the patients having reoperation. The rate of indications for reoperation on the aorta downstream from the original repair 1 month to 6 years 4 months (median time, 9 months) after primary surgical intervention for acute type A aortic dissection was 24% (14 reoperations in 10 of 58 patients). This study underscores the importance of close follow-up of patients having operation for acute type A aortic dissection. Early recognition of progressive downstream aortic pathology permits elective prevention of aortic rupture and timely reoperation.
This article has been cited by other articles:
|
|
 |
|
  M. Karck The glue crisis in surgery of acute aortic dissection type A is ongoing Eur J Cardiothorac Surg, February 6, 2012; (2012) ezs020v1. [Full Text] [PDF]
|
|
|
|
 |
|
 R. S. Bonser, A. M. Ranasinghe, M. Loubani, J. D. Evans, N. M. A. Thalji, J. E. Bachet, T. P. Carrel, M. Czerny, R. Di Bartolomeo, M. Grabenwoger, et al. Evidence, Lack of Evidence, Controversy, and Debate in the Provision and Performance of the Surgery of Acute Type A Aortic Dissection J. Am. Coll. Cardiol., December 6, 2011; 58(24): 2455 - 2474. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Pacini, K. Tsagakis, H. Jakob, C.-A. Mestres, A. Armaro, G. Weiss, M. Grabenwoger, M. A. Borger, F. W. Mohr, R. S. Bonser, et al. The Frozen Elephant Trunk for the Treatment of Chronic Dissection of the Thoracic Aorta: A Multicenter Experience Ann. Thorac. Surg., November 1, 2011; 92(5): 1663 - 1670. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Danyi, J. A. Elefteriades, and I. S. Jovin Medical Therapy of Thoracic Aortic Aneurysms: Are We There Yet? Circulation, September 27, 2011; 124(13): 1469 - 1476. [Full Text] [PDF]
|
|
|
|
 |
|
 L.-Z. Sun, R.-D. Qi, Q. Chang, J.-M. Zhu, Y.-M. Liu, C.-T. Yu, B. Lv, J. Zheng, L.-X. Tian, and J.-G. Lu Is total arch replacement combined with stented elephant trunk implantation justified for patients with chronic Stanford type A aortic dissection? J. Thorac. Cardiovasc. Surg., October 1, 2009; 138(4): 892 - 896. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Uchida, H. Shibamura, A. Katayama, N. Shimada, M. Sutoh, and H. Ishihara Operative Strategy for Acute Type A Aortic Dissection: Ascending Aortic or Hemiarch Versus Total Arch Replacement With Frozen Elephant Trunk Ann. Thorac. Surg., March 1, 2009; 87(3): 773 - 777. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K.-H. Park, C. Lim, J. H. Choi, E. Chung, S. I. Choi, E. J. Chun, and K. Sung Midterm Change of Descending Aortic False Lumen After Repair of Acute Type I Dissection Ann. Thorac. Surg., January 1, 2009; 87(1): 103 - 108. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. T. Kouchoukos, P. Masetti, M. C. Mauney, M. C. Murphy, and C. F. Castner One-Stage Repair of Extensive Chronic Aortic Dissection Using the Arch-First Technique and Bilateral Anterior Thoracotomy Ann. Thorac. Surg., November 1, 2008; 86(5): 1502 - 1509. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Sakaguchi, T. Komiya, N. Tamura, C. Kimura, T. Kobayashi, H. Nakamura, T. Furukawa, and A. Matsushita Patency of distal false lumen in acute dissection: extent of resection and prognosis Interact CardioVasc Thorac Surg, April 1, 2007; 6(2): 204 - 207. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Gariboldi, D. Grisoli, F. Kerbaul, R. Giorgi, A. Riberi, D. Metras, T. G. Mesana, and F. Collart Long-term outcomes after repaired acute type A aortic dissections Interact CardioVasc Thorac Surg, February 1, 2007; 6(1): 47 - 51. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Sueyoshi, I. Sakamoto, M. Fukuda, K. Hayashi, and T. Imada Long-Term Outcome of Type B Aortic Intramural Hematoma: Comparison With Classic Aortic Dissection Treated by the Same Therapeutic Strategy Ann. Thorac. Surg., December 1, 2004; 78(6): 2112 - 2117. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Spielvogel, M. N. Mathur, and R. B. Griepp Aneurysms of the Aortic Arch Card. Surg. Adult, January 1, 2003; 2(2003): 1149 - 1168. [Full Text]
|
|
|
|
|
|
N. T. Kouchoukos, P. Masetti, C. K. Rokkas, and S. F. Murphy Single-stage reoperative repair of chronic type A aortic dissection using the arch-first technique Ann. Thorac. Surg., November 1, 2002; 74(5): S1800 - S1802. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kato, T. Kuratani, M. Kaneko, S. Kyo, and K. Ohnishi The results of total arch graft implantation with open stent-graft placement for type A aortic dissection J. Thorac. Cardiovasc. Surg., September 1, 2002; 124(3): 531 - 540. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Yano, S. Ishimaru, S. Kawaguchi, and Y. Obitsu Endovascular stent grafting of the descending thoracic aorta after arch repair in acute type A dissection Ann. Thorac. Surg., January 1, 2002; 73(1): 288 - 291. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. T. Kouchoukos, P. Masetti, C. K. Rokkas, and S. F. Murphy Single-stage reoperative repair of chronic type A aortic dissection by means of the arch-first technique J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 578 - 582. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Sabik, B. W. Lytle, E. H. Blackstone, P. M. McCarthy, F. D. Loop, and D. M. Cosgrove Long-term effectiveness of operations for ascending aortic dissections J. Thorac. Cardiovasc. Surg., May 1, 2000; 119(5): 946 - 962. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Fukunaga, M. Karck, W. Harringer, J. Cremer, C. Rhein, and A. Haverich The use of gelatin-resorcin-formalin glue in acute aortic dissection type A Eur J Cardiothorac Surg, May 1, 1999; 15(5): 564 - 570. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Rokkas and N. T. Kouchoukos SINGLE-STAGE EXTENSIVE REPLACEMENT OF THE THORACIC AORTA: THE ARCH-FIRST TECHNIQUE J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 99 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ando, S. Takamoto, Y. Okita, T. Morota, R. Matsukawa, and S. Kitamura Elephant trunk procedure for surgical treatment of aortic dissection Ann. Thorac. Surg., July 1, 1998; 66(1): 82 - 87. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Pugliese, R. Pessotto, F. Santini, G. Montalbano, G. B. Luciani, and A. Mazzucco Risk of late reoperations in patients with acute type A aortic dissection: impact of a more radical surgical approach Eur J Cardiothorac Surg, May 1, 1998; 13(5): 576 - 581. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. K. Heinemann, B. Buehner, M. J. Jurmann, and H.-G. Borst Use of the "elephant trunk technique" in aortic surgery Ann. Thorac. Surg., July 1, 1995; 60(1): 2 - 7. [Abstract] [PDF]
|
|
|
|
|
|
M. A. Ergin, R. A. Phillips, J. D. Galla, S. L. Lansman, D. S. Mendelson, C. S. Quintana, and R. B. Griepp Significance of distal false lumen after type A dissection repair Ann. Thorac. Surg., April 1, 1994; 57(4): 820 - 825. [Abstract] [PDF]
|
|
|
|
|
|
C. Minale, F. H. Splittgerber, and H.-J. Reifschneider Replacement of the entire thoracic aorta in a single stage Ann. Thorac. Surg., April 1, 1994; 57(4): 850 - 855. [Abstract] [PDF]
|
|
|
|
|
|
M. Ando, N. Nakajima, S. Adachi, M. Nakaya, and Y. Kawashima Simultaneous graft replacement of the ascending aorta and total aortic arch for type A aortic dissection Ann. Thorac. Surg., March 1, 1994; 57(3): 669 - 676. [Abstract] [PDF]
|
|
|
|
|
|
T. Carrel, M. Pasic, R. Jenni, T. Tkebuchava, and M. I. Turina Reoperations after operation on the thoracic aorta: Etiology, surgical techniques, and prevention Ann. Thorac. Surg., August 1, 1993; 56(2): 259 - 269. [Abstract] [PDF]
|
|
|
|
|
|
J. Laas, M. J. Jurmann, M. Heinemann, and H. G. Borst Advances in aortic arch surgery Ann. Thorac. Surg., February 1, 1992; 53(2): 227 - 232. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
