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Dissections of the Ascending Aorta (Our Clinical Experience)
Dissections of the Ascending Aorta (Our Clinical Experience)
Şenol YAVUZ, Adnan CELKAN, Tamer TÜRK, Hakan VURAL, Mustafa MAVİ, Ahmet ÖCAL, İ. Ayhan ÖZDEMİR
Bursa Yüksek İhtisas Hastanesi Kalp ve Damar Cerrahisi Kliniği. Bursa
Aim of investigation: Despite substantial progress in
recent years, acute type A dissection involving the
ascending aorta remains a serious condition.
Methods: From September 1994 to October 1995, 5
patient (3 men, 2 women) underwent surgical repair
a type A acute dissection involving the ascending
aorta at Bursa Yüksek İhtisas Hospital. Subject
ranged in age from 31 to 69 years (a mean age of 55
years). The major symptom of all patient was severe
chest pain. Diagnosis is done by chest X-ray,
transesophageal echocardiography, and cardiac
catheterization. Distal anastomosis was performed
with deep circulatuar arrest in 4 patient. Retrograde
cerebral perfusion was performed 3 patient. Myo-
card was preserved by antegrade and retrograde cor-
onary sinüs perfusion. Ascending aorta replacement
vvas performed by a Dacron conduit in all patient.
Aort Valve Replacement in l, and Coronary Bypass
grafting in 2 patient was done.
Result: Mean total circulatuar arrest time was 20
minutes. Early mortality was l (% 20) due to renal
failure. Mean follow-up was 11 months (2-16
months). There was no late mortality and mobidity.
Conclusion: We belive that early diagnosis and
adequate management of acute type A involving the
ascending aorta have led to a decrease in the
mortality and major increase in long-term survival.
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