J.Jpn. Surg. Soc.. 78(10): 900-907, 1977
Original article
LONG TERM RESULTS OF SURGICAL TREATMENT FOR THE DESCENDING THORACIC AORTA
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Department of Thoracic & Cardiovascular Surgery, Sapporo Medical College Teruhisa Kazui, M.D., Juro Wada, M.D., et al. |
Of the 50 patients with coarctation of the aorta, forty one survived operation and were discharged from the hospital. Three were lost to follow-up : thirty eight were followed-up from 4 months to 14 years and 2 months (mean 7 years and 6 months). There were 5 late death, 3 of which were related to the operation, and 2 recurrence of coarctation. Twenty six patients (52%) made a normal life at the most current examination. Typical coarctations were satifactorily treated by either resection, end to end anastomosis or patch angioplasty, and atypical coarctations by bypass graft. Of the 38 patients with aneurysm of the thoracic aorta, thirty three survived surgery. One was lost to follow-up : Thirty two were followed-up from 9 months to 16 years and 7 months (mean 5 years and 4 months). There were 10 late death, 2 of which were related to graft replacement and 4 to aneurysmorrhaphy. Sixteen patients (42%) are carrying a normal life. Although aneurysmorrhaphy produced satisfactory early results its long term results were not better than that of graft replacement. This study suggests the patients who survived the operation for the diseases of the descending thoracic aorta should be carefully followed-up.
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