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KMID : 0364019940270010031
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 1 p.31 ~ p.35
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Clinical Analysis of 58 Cases of Aortic Dissecting Aneurysm
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정철하
박현/구본일/이신영/오상준/이홍섭/김창호
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Abstract
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Dissecting aortic aneurysm is a life threatening condition which necessitates prompt diagnosis and management. Between January 1987 and September 1993, 58 patients were admitted to our department. Mean age at admission was 53 years(range; 25-82).
Clinical findings included chest pain in 48 cases(83%), renal failure in 12(20%), aortic insufficiency in 11(19%) and stroke in 9(15%).
Predisposing factors were hypertension in 50 cases(86%), Marfan's syndrome in 6(10%) and diabetes mellitus in l(2%). 23 patients(type A:13, type B:10) underwent surgical treatment. Surgical technique for type A included graft replacement of
ascending
aorta in 7 cases, graft replacement and aortic valve resuspension in 3, and Bentall's operation in 3 cases. Type B patients were operated when specific indications applied. There were three(Two in type A and 1 in type B) deaths in the operation
group
and nine(5 in type A and 4 in type B) deaths in the medical group. These results support our current policy in the treatment of dissecting aortic aneurysm. (Korean J Thoracic Cardiovas Surg 1994; 27:31-5)
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KEYWORD
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