[Management for type A acute dissection].
From March 1998 to May 2002, we experienced 46 patients with type A acute dissection (AAD). Fifteen patients managed initially with conservative treatment because of intramular hematoma (IH, n = 10), broad cerebral infarction (n = 3), others (n = 2). One who diagnosed IH at admission progressed to AAD and underwent surgery. However his diagnosis of IH at admission was proved to be misdiagnosis retrospectively. In 8 of the remaining 9 patients, hematoma disappeared during the follow-up of 6 months to 1 year. In patients with broad cerebral infarction, 2 died early after admission and 1 discharged with hemiplegia. Thirty-two patients underwent surgery and 1 with preoperative broad cerebral infarction died 36 days after surgery. In the remaining 31 patients, 30 patients discharged ambulatory.
Sugita
T
T
Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Japan.
Matsumoto
M
M
Nishizawa
J
J
Matsuyama
K
K
Kawanishi
Y
Y
Tokuda
Y
Y
Yoshida
K
K
Uehara
K
K
Matsuo
T
T
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D002544:Cerebral Infarction / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D014057:Tomography, X-Ray Computed