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September 1, 1980World Journal of Surgery

Realistic expectations of surgical treatment of aortic dissections: The stanford experience

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Why the study?

Does surgical treatment improve survival in patients with acute and chronic aortic dissections?

Population

125 unselected patients with acute and chronic aortic dissections

Design

Cohort

Follow-up

average 4.5 years, up to >13 years

Authors

DMD. Craig MillerUniversity of Arkansas at Little RockESEdward B. StinsonHeart Failure / CardiomyopathyNSNorman E. ShumwayThe University of Queensland

Discussion

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Overview

Supports surgical durability in aortic dissection with improving outcomes; extends observational series but leaves randomized comparisons open.

Structured PICO

Does surgical treatment improve survival in patients with acute and chronic aortic dissections?

P
Population
125 unselected patients with acute and chronic aortic dissections (53 acute type A, 29 chronic type A, 20 acute type B, and 23 chronic type B)
I
Intervention
Uniform surgical treatment (aortic replacement with tubular grafts; concomitant aortic valve replacement in some patients, and primary intimal tear resection in 78% of operations)
O
Outcome
Operative mortality and long-term actuarial survivalhard clinical

Surgical treatment of acute and chronic aortic dissections provides acceptable durability and satisfactory long-term survival, with operative risk declining over time.

Cite This Study

Miller et al. (1980) studied this question.

synapsesocial.com/papers/6a7ea6e70652253f66c2ff4ahttps://doi.org/10.1007/bf02401632
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Long-Term Effectiveness of Operative Procedures for Stanford Type A Aortic Dissections2003 · 8 citations
  2. 2Extent of surgical repair and outcomes after surgery for type A aortic dissection2025 · 8 citations
  3. 3Results of Immediate Surgical Treatment of All Acute Type A Dissections2000 · 113 citations
  4. 4Long-Term Results and Quality of Life after Surgery for Acute Aortic Dissection Type A: Contemporary Single-Centre Experience2024 · 2 citations
  5. 5Italian multicentre study on type A acute aortic dissection: a 33-year follow-up2015 · 42 citations