title: [After care and reoperation after primary intervention in chronic type A aortic dissection].
abstract: 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.
authors.affiliation: Klinik für Thorax-, Herz- und Gefässchirurgie Medizinische Hochschule Hannover.
authors.forename: M
authors.initials: M
authors.lastname: Karck
authors.forename: J
authors.initials: J
authors.lastname: Laas
authors.forename: M
authors.initials: M
authors.lastname: Heinemann
authors.forename: H G
authors.initials: HG
authors.lastname: Borst
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006083:Graft Occlusion, Vascular / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation