Surgical treatment of type A @entity1580 . Results with profound XXXX and @entity1167 .

@entity1 @entity295 @entity101 @entity548 @entity583 @entity130 @entity1614 @entity881 @entity439 @entity86 @entity1129 @entity1167 @entity731 @entity204 @entity1580 @entity2332
@entity1129 aortic dissection still presents an emergency situation in cardiac surgery that is associated with high morbidity and mortality rates. There has been a significant improvement in the surgical outcome since the introduction of deep @entity2332 and @entity1167 . In this study, we discuss our results after operative repair of ascending @entity1580 , using deep @entity2332 and @entity1167 . This study presents the results of 67 @entity1 (43 @entity1 , 24 @entity1 ) from 18 through 81 years of age (mean, 54 years) who underwent surgery for type A dissecting @entity439 over a period of 4 years. @entity1129 dissection (52 acute and 15 chronic cases) was due to @entity1614 in 12 @entity1 , to @entity731 of the aorta in 27 @entity1 , and to @entity130 in 1 @entity1 . @entity101 as the only pathologic finding was observed in 27 @entity1 . @entity2332 (confirmed by isoelectric electroencephalogram) and @entity1167 were induced in all @entity1 . Two @entity1 died intraoperatively due to @entity548 (intraoperative mortality, 3%). The 30-day mortality rate was 30% (n = 20). Causes of perioperative @entity204 in order of frequency were @entity881 (n = 11), @entity583 (n = 2), @entity86 (n = 2), cerebrovascular insult (n = 2), and @entity295 (n = 1). The mean intensive care unit stay of the surviving 47 @entity1 (72%) was 8 days, followed by a mean of 21 additional days in the hospital. Our experience with profound @entity2332 and @entity1167 , used in combination with coated grafts, supports our conviction that this is the method of choice for the treatment of type A dissecting @entity439 .
