[The treatment of dissecting aneurysm of the aorta. Review of 110 cases (author's transl)].
110 cases of dissecting aneurysm of aorta were reviewed; the therapeutic approach was examined according to De Bakey classification. The most unfavorable prognosis for De Bakey type I and II dissections was confirmed (88% and 83% mortality respectively, against 73% mortality for type III). Surgical treatment achieved best results for aneurysm of the ascending tract; six patients survived the operation and are alive and well, they are belong to type I and II. All type III patients that were operated upon died. Figures for patients who received only medical treatment and survived are: 5.4% De Bakey type I; 11.7% De Bakey type II and 41.6% De Bakey type III.


CONCLUSIONS
Ipotensive controlled treatment should be preferred for uncomplicated dissecting aneurysm of descending aorta, while surgical treatment should be adopted in almost all aneurism of the ascending aorta.
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000145:classification / Q000401:mortality / Q000601:surgery*; D001012:Aorta, Abdominal; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000145:classification / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
Terapia dell'aneurisma dissecante dell'aorta. Analisi di 110 casi.