Robles Carlos, Malaret German
Bol Asoc Med P R. 2004 Jan-Feb;96(1):45-50.
One hundred and nine cases of aortic aneurysm or dissection at the Cardiovascular Center of Puerto Rico and the Caribbean, during the period of 18 August 1992 to 30 September 1997, were reviewed. Twenty seven cases had aortic dissection, fourteen type A and eight type B, and five were abdominal. One hundred and seven cases were operated on, eighty electively and twenty seven as an emergency; two patients refused surgery. As expected, all patients with dissection were symptomatic whereas of the others forty four were asymptomatic and thirty eight were symptomatic. There were twelve deaths, nine due to hemorrhage and one each due to cardiac tamponade, myocardial infarction and ventricular arrhythmia. Most of the deaths occurred in patients who had sustained an aortic dissection.
回顾了1992年8月18日至1997年9月30日期间在波多黎各和加勒比心血管中心收治的109例主动脉瘤或主动脉夹层患者。其中27例为主动脉夹层，14例为A型，8例为B型，5例为腹主动脉夹层。107例患者接受了手术，80例为择期手术，27例为急诊手术；2例患者拒绝手术。正如预期的那样，所有夹层患者均有症状，而其他患者中44例无症状，38例有症状。共有12例死亡，9例死于出血，1例死于心脏压塞、心肌梗死和室性心律失常各1例。大多数死亡发生在主动脉夹层患者中。
