Clinical analysis of 51 cases of aortic dissection.
OBJECTIVE
To evaluate the effects of different treatments on the prognosis of aortic dissection.


METHODS
Different treatment modalities including drug therapy, surgical resection and stent implantation were performed in 37, 9, and 5 cases of aortic dissection (AD) respectively, and the clinical outcome of the patients was observed during the follow-up study.


RESULTS
The survival rate in drug therapy group was 70.3% (26) while death occurred in 11 cases (29.7%). Four (44.4%) of the nine cases were cured surgically, leaving a mortality of 55.6%. Stent implantation yielded cures in 4 cases, with death occurring in 1 case, and complications arose in none of the cases.


CONCLUSIONS
Surgical resection is superior to drug therapy in the treatment of type A AD cases, while stent implantation should be the first choice for type B AD cases for causing less complications and injuries and resulting in high cure rate.
Yang
Mao-ping
MP
Department of Cardiology, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
Hou
Yu-qing
YQ
Feng
Jin-hua
JH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000628:therapy*; D001014:Aortic Aneurysm / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015607:Stents