Skip Navigation

European Heart Journal 1990 11(4):311-319;
Copyright © 1990 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by CHIRILLO, F.
Right arrow Articles by CHIOIN, R.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by CHIRILLO, F.
Right arrow Articles by CHIOIN, R.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1990 The European Society of Cardiology

Outcome of 290 patients with aortic dissection. A 12-year multicentre experience

F. CHIRILLO, M. C. MARCHIORI, L. ANDRIOLO, R. RAZZOLINI, A. MAZZUCCO*,*, V. GALLUCCI*,* and R. CHIOIN

Servizio di Emodinamica-Cardologia Padova, Italy
*Istituto di Chirorgia Cardiovascolare, Universita'di Padova Padova, Italy

Received 14 November 1988; revised 23 May 1989; .

Address for correspondence: Fabio Chirillo MD, Servizio di Emodinamica-Cardiologia, Policlinico Universitario, Via N. Giustimani 2,35100 Padova, Italy

Abstract

Retrospective data regarding 290 patients suffering from spontaneous aortic dissection between January 1976 and June 1987 are reported. Dissection was always documented by retrograde aortography and data were collected from 11 catheterization laboratories operating in North-East Italy. The results show that over a 12-year period there was an increase in cases, an increase in the number of operations and a decline in operative mortality. Multivariate discriminant analysis demonstrated that acute myocardial infarction, persistent shock and persistent central neurologic deficit were significant independent predictors of operative mortality in type A patients. Only persistent shock was significantly related to higher operative mortality in type B patients.Late deaths occurred in 14/118 operated patients, and were mostly secondary (directly or indirectly) to aortic dissection. Discharged patients underwent frequent medical checks and chronically received drugs to control hypertension and reduce inotropism. Most of them (73–7%) were asymptomatic: careful post-operative medical assistance is necessary to guarantee the long-term success of surgical treatment.

Key Words: Aortic dissection • aortography • operative and late mortality • follow-up


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Eur J EchocardiogrHome page
E. L. Meredith and N. D. Masani
Echocardiography in the emergency assessment of acute aortic syndromes
Eur J Echocardiogr, January 1, 2009; 10(1): i31 - i39.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
C.-P. Chang, J.-C. Liu, Y.-M. Liou, S.-S. Chang, and J.-Y. Chen
The Role of False Lumen Size in Prediction of In-Hospital Complications After Acute Type B Aortic Dissection
J. Am. Coll. Cardiol., September 30, 2008; 52(14): 1170 - 1176.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
P Narayan, C A Rogers, M Caputo, G D Angelini, and A J Bryan
Influence of concomitant coronary artery bypass graft on outcome of surgery of the ascending aorta/arch
Heart, February 1, 2007; 93(2): 232 - 237.
[Abstract] [Full Text] [PDF]

Home page
 StrokeHome page
C. Gaul, W. Dietrich, I. Friedrich, J. Sirch, and F. J. Erbguth
Neurological Symptoms in Type A Aortic Dissections
Stroke, February 1, 2007; 38(2): 292 - 297.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
V. Rampoldi, S. Trimarchi, K. A. Eagle, C. A. Nienaber, J. K. Oh, E. Bossone, T. Myrmel, G. M. Sangiorgi, C. De Vincentiis, J. V. Cooper, et al.
Simple Risk Models to Predict Surgical Mortality in Acute Type A Aortic Dissection: The International Registry of Acute Aortic Dissection Score
Ann. Thorac. Surg., January 1, 2007; 83(1): 55 - 61.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
T. T. Tsai, A. Evangelista, C. A. Nienaber, S. Trimarchi, U. Sechtem, R. Fattori, T. Myrmel, L. Pape, J. V. Cooper, D. E. Smith, et al.
Long-Term Survival in Patients Presenting With Type A Acute Aortic Dissection: Insights from the International Registry of Acute Aortic Dissection (IRAD)
Circulation, July 4, 2006; 114(1_suppl): I-350 - I-356.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
B. Chiappini, M. Schepens, E. Tan, A. D. Amore, W. Morshuis, K. Dossche, M. Bergonzini, N. Camurri, L. B. Reggiani, G. Marinelli, et al.
Early and late outcomes of acute type A aortic dissection: analysis of risk factors in 487 consecutive patients
Eur. Heart J., January 2, 2005; 26(2): 180 - 186.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Trimarchi, C. A. Nienaber, V. Rampoldi, T. Myrmel, T. Suzuki, R. H. Mehta, E. Bossone, J. V. Cooper, D. E. Smith, L. Menicanti, et al.
Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience
J. Thorac. Cardiovasc. Surg., January 1, 2005; 129(1): 112 - 122.
[Abstract] [Full Text] [PDF]

Home page
 Postgrad. Med. J.Home page
G J Heatlie and M Giles
Echocardiography and the general physician
Postgrad. Med. J., February 1, 2004; 80(940): 84 - 88.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. Kawahito, H. Adachi, S.-i. Murata, A. Yamaguchi, and T. Ino
Coronary malperfusion due to type a aortic dissection: mechanism and surgical management
Ann. Thorac. Surg., November 1, 2003; 76(5): 1471 - 1476.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
I. A. Khan and C. K. Nair
Clinical, Diagnostic, and Management Perspectives of Aortic Dissection*
Chest, July 1, 2002; 122(1): 311 - 328.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
R. H. Mehta, T. Suzuki, P. G. Hagan, E. Bossone, D. Gilon, A. Llovet, L. C. Maroto, J. V. Cooper, D. E. Smith, W. F. Armstrong, et al.
Predicting Death in Patients With Acute Type A Aortic Dissection
Circulation, January 15, 2002; 105(2): 200 - 206.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K. Kawahito, H. Adachi, A. Yamaguchi, and T. Ino
Preoperative risk factors for hospital mortality in acute type A aortic dissection
Ann. Thorac. Surg., April 1, 2001; 71(4): 1239 - 1243.
[Abstract] [Full Text] [PDF]

Home page
 JAMAHome page
P. G. Hagan, C. A. Nienaber, E. M. Isselbacher, D. Bruckman, D. J. Karavite, P. L. Russman, A. Evangelista, R. Fattori, T. Suzuki, J. K. Oh, et al.
The International Registry of Acute Aortic Dissection (IRAD): New Insights Into an Old Disease
JAMA, February 16, 2000; 283(7): 897 - 903.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. M. Gillinov, B. W. Lytle, R. J. Kaplon, F. P. Casselman, E. H. Blackstone, and D. M. Cosgrove
DISSECTION OF THE ASCENDING AORTA AFTER PREVIOUS CARDIAC SURGERY: DIFFERENCES IN PRESENTATION AND MANAGEMENT
J. Thorac. Cardiovasc. Surg., February 1, 1999; 117(2): 252 - 260.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
P. T. O'Gara and R. W. DeSanctis
Acute Aortic Dissection and Its Variants : Toward a Common Diagnostic and Therapeutic Approach
Circulation, September 15, 1995; 92(6): 1376 - 1378.
[Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. J. Rizzo, S. F. Aranki, L. Aklog, G. S. Couper, D. H. Adams, J. J. Collins Jr., N. M. Kinchla, E. N. Allred, and L. H. Cohn
Rapid noninvasive diagnosis and surgical repair of acute ascending aortic dissection: Improved survival with less angiography
J. Thorac. Cardiovasc. Surg., September 1, 1994; 108(3): 567 - 575.
[Abstract] [Full Text]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.