Title Ūminės kylančiosios aortos disekacijos chirurginio gydymo rezultatai /
Translation of Title Acute dissection of ascending aorta: data of surgical treatment.
Authors Turkevičius, Gintaras ; Sirvydis, Vytautas ; Grebelis, Arimantas ; Čypienė, Rasa ; Semėnienė, Palmyra ; Jakumaitė, Vilija ; Kitra, Gediminas ; Kundrotas, Gediminas ; Šerpytis, Pranas
DOI 10.15388/LietChirur.2010.3.2108
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Is Part of Lietuvos chirurgija = Lithuanian surgery.. Vilnius : Lietuvos chirurgų asociacija. 2010, t. 8, Nr. 3, p. 153-157.. ISSN 1392-0995
Keywords [eng] Ascending aorta ; Dissection ; Aurgery
Abstract [eng] Objective. The aim of present study was to analyze the results of surgical treatment of patients suffering from dissecation of the ascending aorta. Patients and methods. During the period 1997–2007, 89 patients underwent operations because of acute dissecation of aorta. The preoperative data, methods of surgery and short-term as well as long-term results of treatment were analyzed. Results. There were 26 postoperative deaths (29.2 %). The causes of death included fatal postoperative bleeding (11), heart failure (5), brain impairment (8), multiple organ insufficiency (2). Bleeding was mostly characteristic of Bental-De Bono operations. In 23 patients (25.8 %), heart tamponade and marked heart failure were diagnosed preoperatively. In 19 of these patients (86.2 %), a rethoracotomy was required because of bleeding, and 6 (26.2 %), suffered from marked renal insufficiency. Seven of 63 survivors died during the long-term observation period (the survival time in two patients was up to 1 year, and 5 patients survived 1–6 years after the operation). Conclusions. The results of surgery for ascending aorta dissection depend on the preoperative condition of the patients and the mode of operation. The preoperative cardiac tamponade with a marked heart failure increases the risk of operation. The long-term results of the treatment are excellent.
Published Vilnius : Lietuvos chirurgų asociacija
Type Journal article
Language Lithuanian
Publication date 2010
CC license CC license description