Dissecting aneurysm of the thoracic aorta. Diagnosis--surgical management--results
Piepho, A.; Kalmar, P.; Siglow, V.; Spielmann, R.
Langenbecks Archiv für Chirurgie. Suppl Ii Verhandlungen der Deutschen Gesellschaft für Chirurgie. Deutsche Gesellschaft für Chirurgie. Kongress 1990: 481-484
1990
ISSN/ISBN: 0173-0541 PMID: 1983596 Document Number: 354642
From 1980 to 1989, 84 patients underwent surgery for dissection of thoracic aortic aneurysms. According to the DeBakey classification there were 23 dissections of type I, 35 of type II and 26 of type III. Magnetic resonance imaging and combined transesophageal and transthoracic echocardiography are highly sensitive and specific methods for diagnosis and followup of aortic dissection. 10% of the patients had to undergo surgery again during the first 5 years. The 5-year-survival rate was 56.1% and the 10-year rate was 40.1%.