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Prognostic factors and indications for surgical treatment of acute aortic dissections: A report based on 191 observations

CardioVascular and Interventional Radiology volume 7, pages 257–266 (1984)Cite this article

Abstract

A total of 191 acute aortic dissections were examined to define prognostic factors for surgical intervention. Overall survival rate reached 40% in the 94 patients operated upon and 8% in the 97 patients not operated upon. Among the 122 patients with involved ascending aorta, survival rate was 2% in the 42 nonoperated patients versus 42% in 80 patients undergoing surgery. Since 1977, overall survival rate has reached 60% in the surgical group (21 of 35 patients and 20% in the nonsurgical group (5 of 25 patients). Factors that showed a significant correlation with postoperative death include: (1) persistent shock; (2) persistent anuria; (3) persistent neurologic deficit; (4) diffuse intravascular coagulation; and (5) involvement of either the celiac trunk, superior mesenteric artery. or both renal arteries at angiography. With the exception of those patients exhibiting any of these high-risk factors, emergency surgical treatment is recommended for all dissections that involve the ascending aorta.

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Authors and Affiliations

  1. Service de Radiologie, France

    François Pinet (Professeur Françis Pinet), Jean Claude Froment, Yves Gourdol & Pascale Meyer

  2. Laboratoire d’Anatomie Pathologique, France

    Robert Loire

  3. Service de Soins Intensifs, France

    Marcel Guillot, Paul Touboul & Jean-Pierre Delahaye

  4. Ingenicurs au Département Informatique des Hospices Civils de Lyon Hospital Cardio-Vasculaire et Pneumologique Louis Pradel, Lyon, France

    Albert Biron & Philippe Messy

Authors
  1. François Pinet
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  2. Jean Claude Froment
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  3. Marcel Guillot
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  4. Yves Gourdol
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  5. Pascale Meyer
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  6. Robert Loire
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  7. Paul Touboul
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  8. Jean-Pierre Delahaye
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  9. Albert Biron
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  10. Philippe Messy
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Pinet, F., Froment, J.C., Guillot, M. et al. Prognostic factors and indications for surgical treatment of acute aortic dissections: A report based on 191 observations. Cardiovasc Intervent Radiol 7, 257–266 (1984). https://doi.org/10.1007/BF02625108

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