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Paper Information

Journal:   THE JOURNAL OF URMIA UNIVERSITY OF MEDICAL SCINCES   SUMMER 2006 , Volume 17 , Number 2; Page(s) 87 To 92.
 
Paper: 

EVALUATION RESULTS AND OUTCOMES OF AORTIC DISSECTION SURGERY IN SHAHID MADANI HEART HOSPITAL 10 YEARS EXPERIENCE

 
 
Author(s):  PARVIZI R., MAGHAMI POUR N., SAFAEI N., HASANZADEH SALMASI S.
 
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Abstract: 

Background & Aims: Acute Aortic Dissection (AAD) is a true emergency situation in cardiac surgery. About 40% of patients expire before diagnosis and 1% or patients die per hour without any surgical plans. The aim of this study is evaluating results and outcomes of aortic dissection surgery in Shahid Madani Heart Hospital in Tabriz, Iran.
Materials & Methods: This research is a retrospective and prospective study on 46 patients from 1994- 2003 who were admitted for acute aortic dissection operation. For collecting data a questionnaire was used. The statistical analysis was performed with SPSS software and was done through descriptive statistical methods.
Results: The study was performed on 46 patients, 65% males and 35% females. 15.2% (7 cases) of the patients expired in operating room before surgery. 39 (59% male and 41% female) were operated on. Mean age of patients was 48.9
±2.3 years old. Pre-operative diagnosis was made by TEE (Transeasophageal echocardiography) and angiography. In 42% of the patients aortic valve was replaced with ascending aorta. In 24% only ascending aorta and in 14 % of patients just distal aortic dissection was replaced. For 10% aortic valve was repaired with AAD and in 10% ascending aorta with aortic arch was replaced. Major complications were hemorrhage (31%) and sever respiratory failure (13.79%), and about 20.07% of patients died in hospital. Only 21 patients (45.5%) have been followed up for 7 years.
Discussion: AAD is a very fatal disease. With early diagnosis and surgical intervention we can save about 75% of patients.

 
Keyword(s): AORTIC DISSECTION SURGERY, COMPLICATIONS
 
References: 
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