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Clinical analysis of 51 cases of aortic dissection
Mao-ping Yang1, Yu-qing Hou, Jin-hua Feng
1Department of Cardiology, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
Objective:
To evaluate the effects of different treatments on the prognosis of aortic dissection.
Method:
Different treatment modalities including drug therapy, surgical resection and stent implantation were performed in 37, 9, and 5 cases of aortic dissection (AD) respectively, and the clinical outcome of the patients was observed during the follow-up study.
Results:
The survival rate in drug therapy group was 70.3% (26) while death occurred in 11 cases (29.7%). Four (44.4%) of the nine cases were cured surgically, leaving a mortality of 55.6%. Stent implantation yielded cures in 4 cases, with death occurring in 1 case, and complications arose in none of the cases.
Conclusion:
Surgical resection is superior to drug therapy in the treatment of type A AD cases, while stent implantation should be the first choice for type B AD cases for causing less complications and injuries and resulting in high cure rate.