KHẢO SÁT MỘT SỐ ĐẶC ĐIỂM VỀ HÌNH THÁI TỔN THƯƠNG TRONG HỘI CHỨNG ĐỘNG MẠCH CHỦ NGỰC CẤP

Abstract

Objectives: The aim of this study was to investigate the proportion and the morphological characteristics of the acute aortic syndrome. Materials and methods: A descriptive study was conducted in a series of 102 patients, suffering the acute aortic syndrome, in Cho Ray hospital and University Medical Centerfrom September 2015 to  September 2018. Results: Acute aortic syndrome describes the presentation of patients with one of a number of life-threatening aortic pathologies and morphology that give rise to aortic symptoms. The spectrum of these aortic emergencies include: aortic dissection, aortic intramural hematoma, penetrating atherosclerotic ulcer, aortic aneurysmal rupture.There are 102 patients suffering AAS but 101 patients were performed surgerywith a mean age of 46.3±21, 78 males (78.7%) and23 females (23.2%). The morphological characteristics: A.D: 66,3%; PAU: 8,9%; IMH 23,8%; Iatrogenic: 2% (2/101). Conclusion: Recognition of variations of AAS types: A.D 66,3%; PAU: 8,9%;  IMH 23,8 %; Iatrogenic 2%; ARR 20%. The assessment of the thoracic aorta morphological characteristics are very important. According to the result, the surgeons and interventionists have the feasible strategy forAAS treatment.