Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo

Background: Tipe A aortic dissection involves the ascending aorta and has high mortality rates without surgical treatment. Aim: To report the results of surgical treatment of type A aortic dissection. Material and Methods: Retrospective review of medical records of 100 patients aged 17 to 78 years (...

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Autores principales:	SELMAN A,RAFAEL, KURSBAUM E,ANDRÉS, UBILLA S,MATÍAS, TURNER G,EDUARDO, ESPINOZA S,CHRISTIAN, ESPINOZA H,JUAN, GONZÁLEZ F,RODRIGO, VILLAVICENCIO T,MAURICIO, VALLADARES J,ELIZABETH, NARANJO T,LORENZO, OPPLIGER P,ERHARD
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2010
Materias:	Aortic diseases Cardiovascular surgical procedures Fatal outcome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800006
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spelling	oai:scielo:S0034-988720100008000062010-12-21Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazoSELMAN A,RAFAELKURSBAUM E,ANDRÉSUBILLA S,MATÍASTURNER G,EDUARDOESPINOZA S,CHRISTIANESPINOZA H,JUANGONZÁLEZ F,RODRIGOVILLAVICENCIO T,MAURICIOVALLADARES J,ELIZABETHNARANJO T,LORENZOOPPLIGER P,ERHARD Aortic diseases Cardiovascular surgical procedures Fatal outcome Background: Tipe A aortic dissection involves the ascending aorta and has high mortality rates without surgical treatment. Aim: To report the results of surgical treatment of type A aortic dissection. Material and Methods: Retrospective review of medical records of 100 patients aged 17 to 78 years (73% males) operated between January 2000 and August 2008, for type A aortic dissection. Follow up was performed with telephone interviews and review of national death records. Results: Eighty three percent of patients had an acute dissection. Operative mortality was 27 and 20% for patients with acute and chronic dissection, respectively. Mortality was 50% among patients aged 70 years or more, compared with 21% among their younger counterparts, The most common complication was bleeding that required a new surgical procedure in 18% of patients. Actuarial survival was 70% at five years. Cardiovascular problems caused the death of two of the nine patients that died during follow up. Conclusions: Surgical mortality among patients with type A aortic dissection was higher among patients with acute episodes and those aged 70 years or moreinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.8 20102010-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800006es10.4067/S0034-98872010000800006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aortic diseases Cardiovascular surgical procedures Fatal outcome
spellingShingle	Aortic diseases Cardiovascular surgical procedures Fatal outcome SELMAN A,RAFAEL KURSBAUM E,ANDRÉS UBILLA S,MATÍAS TURNER G,EDUARDO ESPINOZA S,CHRISTIAN ESPINOZA H,JUAN GONZÁLEZ F,RODRIGO VILLAVICENCIO T,MAURICIO VALLADARES J,ELIZABETH NARANJO T,LORENZO OPPLIGER P,ERHARD Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo
description	Background: Tipe A aortic dissection involves the ascending aorta and has high mortality rates without surgical treatment. Aim: To report the results of surgical treatment of type A aortic dissection. Material and Methods: Retrospective review of medical records of 100 patients aged 17 to 78 years (73% males) operated between January 2000 and August 2008, for type A aortic dissection. Follow up was performed with telephone interviews and review of national death records. Results: Eighty three percent of patients had an acute dissection. Operative mortality was 27 and 20% for patients with acute and chronic dissection, respectively. Mortality was 50% among patients aged 70 years or more, compared with 21% among their younger counterparts, The most common complication was bleeding that required a new surgical procedure in 18% of patients. Actuarial survival was 70% at five years. Cardiovascular problems caused the death of two of the nine patients that died during follow up. Conclusions: Surgical mortality among patients with type A aortic dissection was higher among patients with acute episodes and those aged 70 years or more
author	SELMAN A,RAFAEL KURSBAUM E,ANDRÉS UBILLA S,MATÍAS TURNER G,EDUARDO ESPINOZA S,CHRISTIAN ESPINOZA H,JUAN GONZÁLEZ F,RODRIGO VILLAVICENCIO T,MAURICIO VALLADARES J,ELIZABETH NARANJO T,LORENZO OPPLIGER P,ERHARD
author_facet	SELMAN A,RAFAEL KURSBAUM E,ANDRÉS UBILLA S,MATÍAS TURNER G,EDUARDO ESPINOZA S,CHRISTIAN ESPINOZA H,JUAN GONZÁLEZ F,RODRIGO VILLAVICENCIO T,MAURICIO VALLADARES J,ELIZABETH NARANJO T,LORENZO OPPLIGER P,ERHARD
author_sort	SELMAN A,RAFAEL
title	Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo
title_short	Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo
title_full	Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo
title_fullStr	Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo
title_full_unstemmed	Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo
title_sort	disección aórtica tipo a: resultados operatorios y seguimiento a mediano plazo
publisher	Sociedad Médica de Santiago
publishDate	2010
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000800006
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Disección aórtica tipo A: Resultados operatorios y seguimiento a mediano plazo

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