Why the study?
What are the survival outcomes for patients with descending aortic dissection managed medically or surgically?
What are the survival outcomes for patients with descending aortic dissection managed medically or surgically?
In a small cohort of patients with descending aortic dissection, long-term survival remains poor, with 50% actuarial survival at 4 years.
Emphasizes guarded prognosis in descending aortic dissection; leaves open optimal medical versus surgical strategies.
The management of 25 consecutive patients with descending aortic dissection is reported. Nineteen patients had medical therapy and 6 needed early surgical correc tions. Indications for early surgery are outlined. Nineteen patients were dis charged and 6 died in-hospital. The actuarial survival is 76% at 11 months and 50% at 4 years. The authors describe the factors susceptible to influence early and late out come.
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Folon et al. (1985) studied this question.
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