Surgical treatment of the ruptured thoracic and thoraco-abdominal aorta

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Surgical treatment of the ruptured thoracic and thoraco-abdominal aorta. / Lewis, Michael; Ranasinghe, Aaron; Revell, M; Lewis, K; Bonser, Robert.

In: British Journal of Surgery, Vol. 89, No. 4, 01.04.2002, p. 442-445.

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@article{4d9cf78409ae4ddd8ceb9d8a5f837b78,
title = "Surgical treatment of the ruptured thoracic and thoraco-abdominal aorta",
abstract = "Background: Rupture is the single most common cause of death in patients with thoracic aortic and thoracoabdominal aneurysm (TAA/TAAA) and is almost uniformly fatal. Methods: This was a retrospective review of patients admitted to a single practice with rupture of a TAA/TAAA between 1993 and 2000. Results: Twenty-two consecutive patients with a leaking TAA/TAAA were identified. The aetiology of rupture was either secondary to a degenerative TAAA or a type B dissection. Seventeen patients underwent surgery; one had a Crawford extent 1, seven an extent II, one an extent III and two an extent IV TAAA. Six patients had an acute type B dissection with rupture in the upper descending thoracic aorta. The 30-day survival rate was 88 per cent (15 of 17 patients). Actuarial survival at 1 year in patients who had surgery was 65 per cent. Survival at 1 year for all presenting patients who consented to surgery was 40 per cent. Median survival was greater than 36 months. Conclusion: As a result of improving medical care, more patients with a contained rupture of a TAA/TAAA may present for treatment. Surgery is complex and requires specialist teams for optimal care.",
author = "Michael Lewis and Aaron Ranasinghe and M Revell and K Lewis and Robert Bonser",
year = "2002",
month = apr,
day = "1",
doi = "10.1046/j.0007-1323.2001.02049.x",
language = "English",
volume = "89",
pages = "442--445",
journal = "British Journal of Surgery",
issn = "0007-1323",
publisher = "Wiley",
number = "4",

}

RIS

TY - JOUR

T1 - Surgical treatment of the ruptured thoracic and thoraco-abdominal aorta

AU - Lewis, Michael

AU - Ranasinghe, Aaron

AU - Revell, M

AU - Lewis, K

AU - Bonser, Robert

PY - 2002/4/1

Y1 - 2002/4/1

N2 - Background: Rupture is the single most common cause of death in patients with thoracic aortic and thoracoabdominal aneurysm (TAA/TAAA) and is almost uniformly fatal. Methods: This was a retrospective review of patients admitted to a single practice with rupture of a TAA/TAAA between 1993 and 2000. Results: Twenty-two consecutive patients with a leaking TAA/TAAA were identified. The aetiology of rupture was either secondary to a degenerative TAAA or a type B dissection. Seventeen patients underwent surgery; one had a Crawford extent 1, seven an extent II, one an extent III and two an extent IV TAAA. Six patients had an acute type B dissection with rupture in the upper descending thoracic aorta. The 30-day survival rate was 88 per cent (15 of 17 patients). Actuarial survival at 1 year in patients who had surgery was 65 per cent. Survival at 1 year for all presenting patients who consented to surgery was 40 per cent. Median survival was greater than 36 months. Conclusion: As a result of improving medical care, more patients with a contained rupture of a TAA/TAAA may present for treatment. Surgery is complex and requires specialist teams for optimal care.

AB - Background: Rupture is the single most common cause of death in patients with thoracic aortic and thoracoabdominal aneurysm (TAA/TAAA) and is almost uniformly fatal. Methods: This was a retrospective review of patients admitted to a single practice with rupture of a TAA/TAAA between 1993 and 2000. Results: Twenty-two consecutive patients with a leaking TAA/TAAA were identified. The aetiology of rupture was either secondary to a degenerative TAAA or a type B dissection. Seventeen patients underwent surgery; one had a Crawford extent 1, seven an extent II, one an extent III and two an extent IV TAAA. Six patients had an acute type B dissection with rupture in the upper descending thoracic aorta. The 30-day survival rate was 88 per cent (15 of 17 patients). Actuarial survival at 1 year in patients who had surgery was 65 per cent. Survival at 1 year for all presenting patients who consented to surgery was 40 per cent. Median survival was greater than 36 months. Conclusion: As a result of improving medical care, more patients with a contained rupture of a TAA/TAAA may present for treatment. Surgery is complex and requires specialist teams for optimal care.

UR - http://www.scopus.com/inward/record.url?scp=0036267930&partnerID=8YFLogxK

U2 - 10.1046/j.0007-1323.2001.02049.x

DO - 10.1046/j.0007-1323.2001.02049.x

M3 - Article

C2 - 11952585

VL - 89

SP - 442

EP - 445

JO - British Journal of Surgery

JF - British Journal of Surgery

SN - 0007-1323

IS - 4

ER -