[Clinical experiences and long-term results after surgical treatment of type A thoracic aortic aneurysm].
For aortic aneurysms type A operative treatment is the method of choice. During the past 15 years 128 patients with this diagnosis have been operated on. Early mortality was 22%, 77% of all dissections were emergencies. Main causes of death were multiorgan failure. Up to 117 months 8 patients died late in part due to additional ruptures. 17% of the survivors required reoperation up to 154 months. The probability of survival after 10 years is 0.78, in the group with dissections only 0.4. Therefore close follow-up of this patient group is necessary in order to recognize progression of the disease and induce elective operative treatment.
Meisner
H
H
Klinik für Herz- und Gefässchirurgie, Deutsches Herzzentrum München.
Hähnel
C
C
Sebening
F
F
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000401:mortality / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000401:mortality / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D002423:Cause of Death; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012086:Reoperation; D015996:Survival Rate