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January 1, 1986HeartOpen Access

Diagnostic and surgical management of patients with aneurysms of the thoracic aorta with various causes. Echocardiography and contrast enhanced computed tomography in prophylactic replacement of the ascending aorta.

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Key result

Surgical management of thoracic aortic aneurysms had an overall mortality of 26%, with early mortality at 40% for emergency dissection vs 8-9% for elective or non-dissection cases.

Population

68 patients with aneurysms of the thoracic aorta.

Design

Cohort

Authors

LBL BrunoHospital Clínico Universitario de ValenciaMPM PrandiPCP Colombi

Discussion

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Implication

High mortality with emergency dissection supports elective repair in suitable patients; leaves open optimal thresholds and screening impact.

Study Design

Type

Observational (n=68)

Structured PICO

P
Population
68 patients with aneurysms of the thoracic aorta, including 41 with aortic dissection, 24 with dilatation only, and 3 with transverse aortic rupture.
E
Exposure
Diagnostic imaging (echocardiography and contrast-enhanced computed tomography) and surgical management (including prophylactic replacement of the ascending aorta).
O
Outcome
Mortality rate (early and late).hard clinical

Preventive replacement of the ascending aorta and use of contrast-enhanced CT are recommended to reduce the high mortality associated with emergency operations for aortic dissection.

Cite This Study

Bruno et al. (1986) conducted an observational in Aneurysms of the thoracic aorta (n=68). Surgical management was evaluated on Overall mortality rate. Surgical management of thoracic aortic aneurysms had an overall mortality of 26%, with early mortality at 40% for emergency dissection vs 8-9% for elective or non-dissection cases.

synapsesocial.com/papers/6a93006c34a8596a08575eb4https://doi.org/10.1136/hrt.55.1.81

Topics

Echocardiography
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Also Consider

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

  1. 1Aortic root dilatation and mitral valve prolapse in Marfan's syndrome: an ECHOCARDIOgraphic study.1975 · 245 citations
  2. 2Realistic expectations of surgical treatment of aortic dissections: The stanford experience1980 · 26 citations
  3. 3Identification and localization of aneurysms of the ascending aorta by cross-sectional echocardiography.1979 · 78 citations
  4. 4Progress in treatment of aneurysms of the aortic arch1980 · 50 citations
  5. 5Therapy of Dissecting Aneurysms1967 · 61 citations