Prognostic factors and indications for surgical treatment of acute aortic dissections: A report based on 191 observations View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1984-12

AUTHORS

François Pinet, Jean Claude Froment, Marcel Guillot, Yves Gourdol, Pascale Meyer, Robert Loire, Paul Touboul, Jean-Pierre Delahaye, Albert Biron, Philippe Messy

ABSTRACT

A total of 191 acute aortic dissections were examined to define prognostic factors for surgical intervention. Overall survival rate reached 40% in the 94 patients operated upon and 8% in the 97 patients not operated upon. Among the 122 patients with involved ascending aorta, survival rate was 2% in the 42 nonoperated patients versus 42% in 80 patients undergoing surgery. Since 1977, overall survival rate has reached 60% in the surgical group (21 of 35 patients) and 20% in the nonsurgical group (5 of 25 patients). Factors that showed a significant correlation with postoperative death include: persistent shock; persistent anuria; persistent neurologic deficit; diffuse intravascular coagulation; and involvement of either the celiac trunk, superior mesenteric artery, or both renal arteries at angiography. With the exception of those patients exhibiting any of these high-risk factors, emergency surgical treatment is recommended for all dissections that involve the ascending aorta. More... »

PAGES

257-266

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02625108

DOI

http://dx.doi.org/10.1007/bf02625108

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049274910

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/6529727


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