Hessmann M, Dossche K, Wellens F, Vanermen H, De Geest R
Onze Lieve Vrouw Hospital, Aalst, Belgium.
Cardiovasc Surg. 1995 Feb;3(1):19-25. doi: 10.1016/0967-2109(95)92896-p.
The surgical results of 77 patients with an aneurysm of the thoracic or thoracoabdominal aorta who were surgically treated during a 5-year period were retrospectively evaluated. Eighty-four operations were performed. The aneurysm was located on the ascending aorta in 20 patients, on the arch in nine, and on the arch and ascending aorta in eight. Sixteen aneurysms involved the descending thoracic aorta and 27 were thoracoabdominal. Associated surgery was performed in 12 patients. Deep hypothermia and circulatory arrest were employed in 30 patients. Partial cardiopulmonary bypass was used in 15 patients. Mortality was significantly higher if operation was performed under emergency conditions: the early mortality rate was 11.7%. Aggressive surgical management of untreated aneurysm is justified, as rupture of such lesions is the most common cause of death and associated mortality is high, with a 5-year survival rate of less than 20%.
对77例在5年期间接受手术治疗的胸主动脉或胸腹主动脉瘤患者的手术结果进行了回顾性评估。共进行了84次手术。20例患者的动脉瘤位于升主动脉，9例位于主动脉弓，8例位于主动脉弓和升主动脉。16例动脉瘤累及降胸主动脉，27例为胸腹主动脉瘤。12例患者进行了相关手术。30例患者采用了深低温停循环。15例患者采用了部分体外循环。如果在紧急情况下进行手术，死亡率显著更高：早期死亡率为11.7%。对未治疗的动脉瘤进行积极的手术治疗是合理的，因为此类病变破裂是最常见的死亡原因，且相关死亡率很高，5年生存率低于20%。
