| Treating aortic dissection and penetrating aortic ulcer with stent graft: thirty cases. | |
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MedLine Citation:
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PMID: 16122444 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The purpose of this study is to evaluate the feasibility and safety of stent graft in the treatment of aortic dissection and penetrating aortic ulcer. METHODS: From June 2001 to April 2004, 25 patients with aortic dissection and 5 patients with penetrating aortic ulcer received stent-graft implantation. Within this group were 24 male and 6 female patients, with an average age of 52.3 +/- 11.9 years. One patient was diagnosed as type A dissection, 23 patients as chronic type B dissection, 1 patient as acute type B dissection, and the remaining 5 patients with penetrating aortic ulcer. Among the 25 patients with aortic dissection, 3 had contained rupture. All patients were followed up in 1 to 32 months. RESULTS: All patients received stent-graft implantation. There were 5 type I endoleaks. Retrograde ascending aortic dissection occurred during the operation in 1 patient. Two other retrograde ascending aortic dissections occurred in 2 patients 1 day and 7 days, respectively, after stent-graft implantation. Two patients died 1 day and 18 days, respectively, after operation because of rupture of ascending aortic dissection. One-month mortality rate was 6.7%. No death occurred during follow-up time. One patient received a second stent-graft implantation 20 months after the first procedure. CONCLUSIONS: Serious complications may develop after stent-graft implantation, but the early results of treatment of aortic dissection and penetrating aortic ulcer with stent graft were satisfactory. Long-term follow-up was needed. |
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Authors:
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Shang Dong Xu; Zhi Zhong Li; Fang Jiong Huang; Jin Fei Yang; Xue Yong Wang; Zhao Guang Zhang; Jia Hui Du; Yan Qing Sun |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 80 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2005 Sep |
Date Detail:
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Created Date: 2005-08-26 Completed Date: 2006-09-18 Revised Date: 2007-04-13 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 864-8 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiac Surgery, Beijing Institute of Heart, Pulmonary and Vascular Diseases, Capital University of Medical Science, Beijing Anzhen Hospital, Beijing, China. xushangdong@vip.sina.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm, Dissecting / surgery* Aortic Aneurysm / surgery* Cardiac Surgical Procedures / adverse effects, methods Female Follow-Up Studies Humans Male Middle Aged Postoperative Complications / etiology Recurrence Stents Transplants Treatment Outcome Ulcer / surgery* |
| Comments/Corrections | |
Comment In:
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Perspect Vasc Surg Endovasc Ther. 2006 Sep;18(3):269-70
[PMID:
17278318
]
Ann Thorac Surg. 2005 Sep;80(3):869 [PMID: 16122445 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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