[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.159.158.180. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 1970

Surgical Treatment of Aneurysm of the Ascending Aorta

Author Affiliations

Houston
From the Texas Heart Institute, St. Luke's Episcopal Hospital and Texas Children's Hospital, Houston.

Arch Surg. 1970;101(6):734-739. doi:10.1001/archsurg.1970.01340300090015
Abstract

During a ten-year period (1959 to 1969) 80 patients underwent operation for aneurysm of the ascending aorta, 24 for acute dissection and 56 for chronic dissection or fusiform enlargement. Fifteen of the patients with acute dissecting aneurysms and 46 of those with chronic lesions had aortic regurgitation; 70% of the entire series required aortic valve replacement. The predominant pathologic lesion was cystic medial degeneration in 75% and atherosclerosis in 25% of the cases. Mortality was 25% for patients with acute dissecting aneurysms, 17% for those with chronic lesions, and 20% for the entire series. We recommend aggressive surgical therapy for acute dissecting aneurysm of the ascending aorta. In our experience this is a more serious condition than acute dissection of the descending aorta.

×