d'Allaines C, Blondeau P, Piwnica A, Carpentier A, Soyer R, Deloche A, Farge C, Relland J Y, Dubost C
J Cardiovasc Surg (Torino). 1977 May-Jun;18(3):261-6.
53 cases of aortic dissections were operated on between 1961 and 1975 in the Service of Cardiovascular Surgery at the Broussais Hospital, Paris (Prof. Ch. Dubost). The present study deals with 32 cases operated on in the acute phase. 31 originated in the ascending aorta and 1 in the descending aorta. Operative mortality was 50% (16/32), 4 patients died immediately following sternotomy. Operation consisted in replacement of the ascending aorta for the majority of type I and II dissections. When aortic insufficiency was present, a simple resuspension procedure was effective in 50% of cases. The authors prefer early operative intervention in type I and II dissections and medical treatment in type III dissections.
1961年至1975年间，巴黎布鲁塞医院心血管外科（Ch. 迪博斯特教授）对53例主动脉夹层患者进行了手术。本研究涉及32例急性期手术病例。31例起源于升主动脉，1例起源于降主动脉。手术死亡率为50%（16/32），4例患者在胸骨切开术后立即死亡。对于大多数I型和II型夹层，手术包括升主动脉置换。当存在主动脉瓣关闭不全时，简单的瓣叶悬吊术在50%的病例中有效。作者倾向于对I型和II型夹层进行早期手术干预，对III型夹层进行药物治疗。
