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. 1996 Jan;75(1):62-6.
doi: 10.1136/hrt.75.1.62.

Fate of the native aorta after repair of acute type A dissection: a magnetic resonance imaging study

N R Moore  1 , A J Parry, B Trottman-Dickenson, R Pillai, S Westaby
Affiliations

Fate of the native aorta after repair of acute type A dissection: a magnetic resonance imaging study

N R Moore et al. Heart. 1996 Jan.

Abstract

Objective: To determine late patency of the aortic false lumen and propensity for aneurysm formation after repair of type A dissection.

Design: Retrospective follow up study.

Setting: Regional cardiac surgical unit.

Patients: 28 patients after repair of type A dissection.

Methods: Magnetic resonance imaging (MRI) was performed between 6 weeks and 12 months after operation.

Results: A patent distal false lumen with demonstrable blood flow was found in 22 patients (78%). Only six patients had complete obliteration of the false lumen by thrombus. The conduct of operation did not influence this. Nine patients (32%) showed aneurysmal dilatation of the false lumen and three had a repeat operation.

Conclusions: So-called "successful repair" of aortic dissection does not obliterate the distal false lumen. MRI is a safe and effective radiological procedure for determining patency and dilatation in the false lumen. Patients with type A dissection with blood flow in the false lumen should be studied every 6 months to look for aneurysmal dilatation.

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References

    1. Radiology. 1988 Mar;166(3):651-5 - PubMed
    1. N Engl J Med. 1993 Jan 7;328(1):1-9 - PubMed
    1. AJR Am J Roentgenol. 1988 Jan;150(1):87-92 - PubMed
    1. Surgery. 1982 Dec;92(6):1118-34 - PubMed
    1. J Thorac Cardiovasc Surg. 1979 Apr;77(4):516-21 - PubMed