Surgical treatment of aneurysms of the ascending aorta
From January 1970 to April 1975, 132 patients underwent surgical repair of aneurysms of the ascending aorta at this institution, 24 of whom had acute dissections. In almost all cases the ascending aorta was replaced with a Dacron tube graft. Aortic valve replacement was performed in 100 patients and...
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| Veröffentlicht in: | Circulation (New York, N.Y.) N.Y.), 1976-12, Vol.54 (6 Suppl), p.III118-III122 |
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| container_end_page | III122 |
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| container_issue | 6 Suppl |
| container_start_page | III118 |
| container_title | Circulation (New York, N.Y.) |
| container_volume | 54 |
| creator | Kidd, J N Ruel, Jr, G J Cooley, D A Sandiford, F M Kyger, 3rd, E R Wukasch, D C |
| description | From January 1970 to April 1975, 132 patients underwent surgical repair of aneurysms of the ascending aorta at this institution, 24 of whom had acute dissections. In almost all cases the ascending aorta was replaced with a Dacron tube graft. Aortic valve replacement was performed in 100 patients and 23 patients underwent coronary artery revision or bypass. Fifteen hospital deaths occurred. Although chronic or nondissecting aneurysms may be dealt with on an elective basis, acute dissections require prompt surgical intervention. Symptomatology and radiographic findings are such that angiography may not be necessary to establish the diagnosis. Clinical evidence of aortic regurgitation in an acute dissecting aneurysm is sufficient indication for immediate operation. Improvements in surgical techniques, fabric grafts, and valve prostheses have all contributed to the successful surgical treatment of aneurysms of the ascending aorta. |
| format | Article |
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In almost all cases the ascending aorta was replaced with a Dacron tube graft. Aortic valve replacement was performed in 100 patients and 23 patients underwent coronary artery revision or bypass. Fifteen hospital deaths occurred. Although chronic or nondissecting aneurysms may be dealt with on an elective basis, acute dissections require prompt surgical intervention. Symptomatology and radiographic findings are such that angiography may not be necessary to establish the diagnosis. Clinical evidence of aortic regurgitation in an acute dissecting aneurysm is sufficient indication for immediate operation. Improvements in surgical techniques, fabric grafts, and valve prostheses have all contributed to the successful surgical treatment of aneurysms of the ascending aorta.</description><identifier>ISSN: 0009-7322</identifier><identifier>PMID: 991420</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Aortic Aneurysm - complications ; Aortic Aneurysm - surgery ; Aortic Valve Insufficiency - complications ; Aortic Valve Insufficiency - surgery ; Female ; Humans ; Male ; Methods ; Middle Aged</subject><ispartof>Circulation (New York, N.Y.), 1976-12, Vol.54 (6 Suppl), p.III118-III122</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/991420$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kidd, J N</creatorcontrib><creatorcontrib>Ruel, Jr, G J</creatorcontrib><creatorcontrib>Cooley, D A</creatorcontrib><creatorcontrib>Sandiford, F M</creatorcontrib><creatorcontrib>Kyger, 3rd, E R</creatorcontrib><creatorcontrib>Wukasch, D C</creatorcontrib><title>Surgical treatment of aneurysms of the ascending aorta</title><title>Circulation (New York, N.Y.)</title><addtitle>Circulation</addtitle><description>From January 1970 to April 1975, 132 patients underwent surgical repair of aneurysms of the ascending aorta at this institution, 24 of whom had acute dissections. In almost all cases the ascending aorta was replaced with a Dacron tube graft. Aortic valve replacement was performed in 100 patients and 23 patients underwent coronary artery revision or bypass. Fifteen hospital deaths occurred. Although chronic or nondissecting aneurysms may be dealt with on an elective basis, acute dissections require prompt surgical intervention. Symptomatology and radiographic findings are such that angiography may not be necessary to establish the diagnosis. Clinical evidence of aortic regurgitation in an acute dissecting aneurysm is sufficient indication for immediate operation. Improvements in surgical techniques, fabric grafts, and valve prostheses have all contributed to the successful surgical treatment of aneurysms of the ascending aorta.</description><subject>Adult</subject><subject>Aged</subject><subject>Aortic Aneurysm - complications</subject><subject>Aortic Aneurysm - surgery</subject><subject>Aortic Valve Insufficiency - complications</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><issn>0009-7322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1976</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotj7lOw0AURadgC4E_oHBFZ-l5XjxLiSKWSJEogNp6swUjb8yMi_w9Rkl1daSjq3sv2AoAdCmR8xt2m9LPggJlfc2utK42HFZMfMzx0Frqihw95d4PuRhDQYOf4zH16R_yty8oWT-4djgUNMZMd-wyUJf8_TnX7Ovl-XP7Vu7fX3fbp305cahzSYTBcAmKuEFeI0lunFWgNPpg0FfKOnKkEEjKwMXigFRWcB2sMwC4Zo-n3imOv7NPuenbZUnXLQPHOTUKRa03olrEh7M4m967ZoptT_HYnH7iHxD2TWU</recordid><startdate>197612</startdate><enddate>197612</enddate><creator>Kidd, J N</creator><creator>Ruel, Jr, G J</creator><creator>Cooley, D A</creator><creator>Sandiford, F M</creator><creator>Kyger, 3rd, E R</creator><creator>Wukasch, D C</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>197612</creationdate><title>Surgical treatment of aneurysms of the ascending aorta</title><author>Kidd, J N ; Ruel, Jr, G J ; Cooley, D A ; Sandiford, F M ; Kyger, 3rd, E R ; Wukasch, D C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p205t-aa3fb2708a2b3253a72bdc80893efb3e18cdada830a77f26325078c629fcdb003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1976</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aortic Aneurysm - complications</topic><topic>Aortic Aneurysm - surgery</topic><topic>Aortic Valve Insufficiency - complications</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kidd, J N</creatorcontrib><creatorcontrib>Ruel, Jr, G J</creatorcontrib><creatorcontrib>Cooley, D A</creatorcontrib><creatorcontrib>Sandiford, F M</creatorcontrib><creatorcontrib>Kyger, 3rd, E R</creatorcontrib><creatorcontrib>Wukasch, D C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kidd, J N</au><au>Ruel, Jr, G J</au><au>Cooley, D A</au><au>Sandiford, F M</au><au>Kyger, 3rd, E R</au><au>Wukasch, D C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical treatment of aneurysms of the ascending aorta</atitle><jtitle>Circulation (New York, N.Y.)</jtitle><addtitle>Circulation</addtitle><date>1976-12</date><risdate>1976</risdate><volume>54</volume><issue>6 Suppl</issue><spage>III118</spage><epage>III122</epage><pages>III118-III122</pages><issn>0009-7322</issn><abstract>From January 1970 to April 1975, 132 patients underwent surgical repair of aneurysms of the ascending aorta at this institution, 24 of whom had acute dissections. In almost all cases the ascending aorta was replaced with a Dacron tube graft. Aortic valve replacement was performed in 100 patients and 23 patients underwent coronary artery revision or bypass. Fifteen hospital deaths occurred. Although chronic or nondissecting aneurysms may be dealt with on an elective basis, acute dissections require prompt surgical intervention. Symptomatology and radiographic findings are such that angiography may not be necessary to establish the diagnosis. Clinical evidence of aortic regurgitation in an acute dissecting aneurysm is sufficient indication for immediate operation. Improvements in surgical techniques, fabric grafts, and valve prostheses have all contributed to the successful surgical treatment of aneurysms of the ascending aorta.</abstract><cop>United States</cop><pmid>991420</pmid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0009-7322 |
| ispartof | Circulation (New York, N.Y.), 1976-12, Vol.54 (6 Suppl), p.III118-III122 |
| issn | 0009-7322 |
| language | eng |
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| source | MEDLINE; American Heart Association Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Journals@Ovid Complete |
| subjects | Adult Aged Aortic Aneurysm - complications Aortic Aneurysm - surgery Aortic Valve Insufficiency - complications Aortic Valve Insufficiency - surgery Female Humans Male Methods Middle Aged |
| title | Surgical treatment of aneurysms of the ascending aorta |
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