Follow-up and reoperations after repair of Chronic Aortic Dissection Type A (CADA)

• Verfasst von: Karck, Matthias [VerfasserIn]
• Verfasst von: Laas, Joachim [VerfasserIn]
• Verfasst von: Heinemann, Markus K. [VerfasserIn]
• Verfasst von: Borst, Hans Georg [VerfasserIn]
• Titel: Follow-up and reoperations after repair of Chronic Aortic Dissection Type A (CADA)
• Verf.angabe: M. Karck, J. Laas, M. Heinemann, H.G. Borst
• Jahr: 1990
• Umfang: 3 S.
• Fussnoten: Gesehen am 12.01.2022
• ISBN: 978-3-642-48163-5
• Titel Quelle: Enthalten in: Langenbeck's archives of surgery
• Ort Quelle: Berlin : Springer, 1948
• Jahr Quelle: 1990
• Band/Heft Quelle: 375(1990), Suppl. 2, Seite 499-501
• DOI: doi:10.1007/978-3-642-48163-5_102
• Datenträger: Online-Ressource
• Sprache: ger
• Sach-SW: Chronic aortic dissection type A
• Sach-SW: Chronische Aortendissektion Typ A
• Sach-SW: Composite graft replacement
• Sach-SW: Composite-Ersatz
• K10plus-PPN: 1785822519

Abstract

SummaryBetween 4/78 und 9/89 44 patients (pts.) underwent primary repair of CADA. 3 pts. died early postoperatively. 36 pts. were followed-up 3 months to 9.7 years (x;̄ = 3.1 years) postoperatively with CT, DSA and echocardiography. 8 pts. underwent 12 aortic reoperations, in 10 cases due to persistent or recurrent aneurysms. Conclusions: In CADA radical replacement of the Ascending Aorta is advisable to prevent recurrent aneurysms formation. Systematic follow-up facilitates early recognition and repair of progressively chronic or new downstream aortic pathology.