The treatment of dissecting aneurysm of the aorta. Review of 110 cases
Ceci, V.; Fiorella, A.T.; Bordi, L.; La Selva, M.A.
Giornale Italiano di Cardiologia 10(5): 578-583
1980
ISSN/ISBN: 0046-5968 PMID: 7450379 Document Number: 160074
110 cases of dissecting aneurysm of aorta were reviewed; the therapeutic approach was examined according to De Bakey classification. The most unfavorable prognosis for De Bakey type I and II dissections was confirmed (88% and 83% mortality respectively, against 73% mortality for type III). Surgical treatment achieved best results for aneurysm of the ascending tract; six patients survived the operation and are alive and well, they are belong to type I and II. All type III patients that were operated upon died. Figures for patients who received only medical treatment and survived are: 5.4% De Bakey type I; 11.7% De Bakey type II and 41.6% De Bakey type III. Ipotensive controlled treatment should be preferred for uncomplicated dissecting aneurysm of descending aorta, while surgical treatment should be adopted in almost all aneurism of the ascending aorta.