[Anesthesia, intensive care for emergency surgery of the thoracic aorta. A retrospective study over 10 years].
Fifty eight patients underwent emergency thoracic aortic surgery over a nine year period (Nov 80 Nov 89). Two pathologies may be opposed with regard to etiology, circumstances and patients. Traumatic aortic ruptures (18): the most common location of the tear was at the isthmus of aorta (18). They occurred in a violent crash and often affected young patients. Early treatment gave a good prognosis, outcome depending on other lesions. Others (40) were descending aortic aneurismal fissure, ascending aortic dissection and compound type B dissection (ischemic form or breaking point). These affected an older population with an important cardio-vascular risk. This high risk population combined with an open chest surgery with or without extracorporeal circulation aggravated the prognosis.
Beaufils-Leblanc
C
C
Département d'anesthésie-réanimation, Hôpital du Bocage, Centre hospitalier régional et universitaire, Dijon.
Parthiot
J P
JP
Lançon
J P
JP
Obadia
J F
JF
D000293:Adolescent; D000328:Adult; D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D000784:Aortic Dissection / Q000601:surgery; D001013:Aorta, Thoracic / Q000293:injuries / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012421:Rupture
Anesthésie, réanimation pour la chirurgie de l'aorte thoracique en urgence (etude rétrospective sur 10 ans).