title: [Surgical treatment of De Bakey type III aortic dissection].
abstract: OBJECTIVE
  To summarize the experience in surgical treatment of De Bakey type III aortic dissection and discuss the operative indications, techniques, and methods for spinal cord protection.
  
  
  METHODS
  From January 1994 to January 2000, 49 patients with De Bakey type III aortic dissection were operated on. Of these patients, 35 were subjected to partial thoratical aorta replacement, 4 partial thoratical aorta replacement and plasty, 8 total thoratical aorta replacement, and 2 thoracoabdominal aorta replacement. In the 35 patients, the operations were performed by using the technique which preserved blood was transfused back by pump via the femoral artery.
  
  
  RESULTS
  Hospital mortality in this group was 6.1% (3/49). Eight patients received emergence operation, and 1 patient died. Paraparesis developed in one patient (2.0%). Other complications included re-exploration for bleeding in 3 patients, and wound infection in 5.
  
  
  CONCLUSIONS
  The rate of mortality and complication is high in patients with De Bakey type III aortic dissection. Appropriate operative techniques and methods of spinal cord protection are essential to resolve this problem.
authors.affiliation: Department of Cardiac Surgery, Cardiovascular Institute and Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Chang
authors.forename: Lizhong
authors.initials: L
authors.lastname: Sun
authors.forename: Junming
authors.initials: J
authors.lastname: Zhu
authors.forename: Xiangyang
authors.initials: X
authors.lastname: Qian
authors.forename: Jun
authors.initials: J
authors.lastname: Zheng
authors.forename: Jun
authors.initials: J
authors.lastname: Feng
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*