Primary repair of ascending aortic dissection: Experience with 20 cases

20 patients (13 men, 7 women) with dissection of the ascending aorta, average age 65 years. Dissection complicated cardiac surgery in 13, was spontaneous in 6, and was traumatic in 1.

Primary repair technique including a noncircumferential aortotomy at the site of the primary tear sparing the posterior wall, followed by Teflon felt-supported repair of the dissected layers, and wrapping of the aorta with a Teflon felt pad.

Mortalityhard clinical