Diagnosis and treatment of acute aortic syndrome        ZHANG Xi-wei, YANG Hong-yu, SUN Peng, et al.Department of Vascular Surgery, the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029 , China
Corresponding author: ZHANG Xi-wei, xiwei1092@yahoo.com.cn
Abstract    Objective    To explore the diagnosis and treatment of acute aortic syndrome including  acute aortic dissection, intramural aortic hematoma and penetrating atherosclerotic aortic ulcer. Methods    From Sep. 2004 to Jan. 2009, 126 cases of acute aortic syndrome were admitted. Among them, 98 cases with Standford B type aortic dissection received endovascular repair,19 cases with intramural aortic hematoma received medication therapy, 8 cases with penetrating atherosclerotic aortic ulcer received endovascular repair. 1 patient refused endovascular repair for economic reseaon. Some cases underwent arterial by-pass before endovascular repair on demanding. The time of follow-up was 3 months to 3years.The rate of follow-up was 78%. Results    One case with Standford B type aortic dissection died from acute Standford A type aortic dissection 6 months after endovascular repair. One case with intramural aortic hematoma died from acute Standford A type aortic dissection during medication therapy. One case with Standford B type aortic dissection did not recover from ischemia nerve injury of the legs totally after endovascular repair. The others were cured without serious complications. Conclusion    Endovascular repair is a safe and effect method of Standford B type aortic dissection and penetrating atherosclerotic aortic ulcer. The indications could be increased by arterial by-pass. The results of medication therapy on intramural aortic hematoma were acceptable.