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Một số nhận xét chẩn đoán và điều trị lóc động mạch chủ type A tại Bệnh Viện Việt Đức
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Abstract
Background: Diagnostic and early results of surgical and non-surgical type A aortic dissection in Vietduc hospital.
Materials and methods: Description of 74 cases of type A aortic dissection in Vietduc hospital from 9/2012 to 9/2014.
Results: 44 of surgical treatment and 30 of nonsurgical treatment. Patient hospitalized late to Vietduc (3.3 days). Reasons of non-surgical treatment: late diagnostic, severe complications and expensive cost. 8 of chronic type A aortic dissections and 66 of acute type A aortic dissections. In hospital mortality: 43.2%; 30 days post-operative mortality: 18.2% and 30 days non-surgical mortality: 86.7%. Adapting of point of view, suture technique, CPB and ECMO technique, we have succesful diagnostic and treatment of rare and complex type A aortic dissections: intramural hematoma, after previous aortic valve replacement, penetrating atherosclerotic ulcer and severe left ventricle dysfunction.
Conclusion: Patient hospitalized late to Vietduc and limitation of surgical treatment for type A aortic dissection. Significant lower mortality of surgical
treament of type A aortic dissection. Succesful diagnostic and treatment of rare and complex type A aortic dissections in Vietduc hospital.
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* Khoa Phẫu thuật Tim mạch và Lồng ngực – Bệnh viện Việt Đức
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