[A review of surgical treatment of aneurysms of the aorta].
During 23 years, from 1965 to August 1988, 264 patients with thoracic and thoracoabdominal aortic aneurysms including dissecting aneurysms were operated upon, and the overall operative mortality was 19.1%. Before the midst of 1972, the surgical mortality was 55%, but after the midst of 1972 it was 13.1%, and for the most recent 5 years it was only 7.8%. Experiences of the surgical treatment of true aneurysms of the each segments of the aorta, ie, ascending, transverse arch, descending thoracic, and thoracoabdominal, as well as the surgical treatment of the dissecting aneurysms, were reviewed. Factors contributing to the progress in the surgical treatment of the aortic aneurysms were 1) graft inclusion technique in which Bentall's procedure was included, 2) improved cardioplegic technique, 3) temporary long external bypass, 4) left heart bypass with a Biopump without total body heparinization, 5) deep hypothermia, and 6) open distal anastomosis for the transverse arch replacement. At the present time, there are several problems to be solved, that are further improvement of surgical treatment of the dissecting aneurysms of the aorta, prevention of the postoperative hemiplegia, and further improvement of the long term results after surgical treatment of aneurysms of the aorta.
Hashimoto
A
A
D000784:Aortic Dissection / Q000601:surgery; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery; D001014:Aortic Aneurysm / Q000601:surgery*; D006801:Humans