Viljanen T, Landtman M, Luosto R
Thorac Cardiovasc Surg. 1985 Feb;33(1):8-15. doi: 10.1055/s-2007-1014072.
The results of 32 patients who had undergone surgery for aortic dissections were analyzed. Twenty-six patients were examined in hospital during the follow-up study while one patient refused the examination and 5 others had succumbed. The average follow-up was 42.6 months. Late functional status was generally good. Resuspension of the aortic annulus for incompetent aortic valves in type I and II dissections resulted in grave aortic regurgitation and death in one case, and in mild valvular incompetence in another case, while 5 patients had competent valves after resuspension. Computed tomography (CT) and angiographic studies frequently revealed residual changes such as double lumen of the aorta. Five subsequent aortic aneurysms were discovered, 4 of them having been reoperated after the study was completed. Periodical follow-up and screening of the aorta of operative survivors is recommended.
对32例行主动脉夹层手术的患者结果进行了分析。在随访研究期间，26例患者在医院接受了检查，1例患者拒绝检查，另有5例患者死亡。平均随访时间为42.6个月。晚期功能状态总体良好。I型和II型夹层中因主动脉瓣关闭不全而行主动脉瓣环再悬吊术，1例导致严重主动脉反流和死亡，另1例导致轻度瓣膜关闭不全，而5例患者再悬吊术后瓣膜功能正常。计算机断层扫描（CT）和血管造影研究经常显示出残留变化，如主动脉双腔。随后发现了5例主动脉瘤，其中4例在研究完成后接受了再次手术。建议对手术幸存者进行定期随访和主动脉筛查。
