Article
Cardiac & Cardiovascular Systems
Yixiao Zhang, Yulin Wang, Jinmiao Chen, Jun Li, Yongxin Sun, Hao Lai, Chunsheng Wang, Qiang Ji
Summary: The association between sex and clinical outcomes after surgical repair of acute type A aortic dissection was studied in this research. The study found that there were no significant differences in terms of in-hospital and midterm outcomes between male and female patients who underwent extended arch repair for ATAAD. However, female patients tended to be older, have a lower body mass index, and were less likely to be current smokers compared to male patients.
CANADIAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Rodrigo Zea-Vera, Susan Y. Green, Hiruni S. Amarasekara, Vicente Orozco-Sevilla, Ourania Preventza, Scott A. LeMaire, Joseph S. Coselli
Summary: In this study, the outcomes of surgical repair for chronic TAAD were evaluated, and it was found that the operative risk was low and the treatment was associated with low rates of persistent neurologic complications.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Vincenzo Vento, Sebastien Multon, Ramzi Ramadan, Philippe Deleuze, Dominique Fabre, Julien Guihaire, Stephan Haulon
Summary: Ascending aorta wrapping is associated with favorable early outcomes and a low rate of aortic events during follow-up. This therapeutic option should be considered for patients considered too fragile for standard surgical repair.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Surgery
Fausto Biancari, Tatu Juvonen, Antonio Fiore, Andrea Perrotti, Amelie Herve, Joseph Touma, Matteo Pettinari, Sven Peterss, Joscha Buech, Angelo M. Dell'Aquila, Konrad Wisniewski, Andreas Rukosujew, Till Demal, Lenard Conradi, Marek Pol, Petr Kacer, Francesco Onorati, Cecilia Rossetti, Igor Vendramin, Daniela Piani, Mauro Rinaldi, Luisa Ferrante, Eduard Quintana, Robert Pruna-Guillen, Javier Rodriguez Lega, Angel G. Pinto, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Francesco Nappi, Sebastien Gerelli, Dario Di Perna, Giuseppe Gatti, Enzo Mazzaro, Stefano Rosato, Peter Raivio, Mikko Jormalainen, Giovanni Mariscalco
Summary: The aim of this study was to evaluate the outcomes of different surgical strategies for acute TAAD. The study found that replacement of the aortic root and aortic arch did not decrease the risk of aortic reoperation in TAAD patients and should be performed only in the presence of local aortic injury or aneurysm.
Article
Cardiac & Cardiovascular Systems
Manabu Yamasaki, Hideaki Yoshino, Takashi Kunihara, Koichi Akutsu, Tomoki Shimokawa, Hitoshi Ogino, Mitsuhiro Kawata, Toshiyuki Takahashi, Michio Usui, Kazuhiro Watanabe, Takeshiro Fujii, Takeshi Yamamoto, Ken Nagao, Morimasa Takayama
Summary: This study investigated the early outcomes in patients with type A acute aortic dissection who presented with cardiopulmonary arrest. Aortic surgery and age over 80 years were found to be related to mortality in these patients. There were some differences between patients with in-hospital and out-of-hospital CPA, but these differences were not significant.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Medicine, General & Internal
Jennifer S. Breel, Eline S. de Klerk, Magnus Strypet, Frederiek de Heer, Henning Hermanns, Markus W. Hollmann, Susanne Eberl
Summary: This study aimed to assess the health-related quality of life of patients with Type A acute aortic dissection (TAAAD). The survey results showed that despite difficulties in daily life, patients were satisfied with their treatment and would undergo the procedure again. They also requested better post-discharge guidance and communication.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Lauren Huckaby, Ibrahim Sultan, Santi Trimarchi, Bradley Leshnower, Edward P. Chen, Derek R. Brinster, Truls Myrmel, Anthony L. Estrera, Daniel G. Montgomery, Amit Korach, Hans -Henning Eckstein, Joseph S. Coselli, Takeyoshi Ota, Clayton A. Kaiser, Kim A. Eagle, Himanshu J. Patel, Thomas G. Gleason
Summary: In-hospital mortality remains higher among women with TAAD but shows improvement in the last decade. Significant differences in presentation were noted in women, including older age and greater evidence of malperfusion. Although no distinctions in 5-year mortality or reintervention were observed, a tailored surgical approach should be considered to reduce sex disparities in early mortality rates for TAAD.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Kevin M. Harris, Christoph A. Nienaber, Mark D. Peterson, Elise M. Woznicki, Alan C. Braverman, Santi Trimarchi, Truls Myrmel, Reed Pyeritz, Stuart Hutchison, Craig Strauss, Marek P. Ehrlich, Thomas G. Gleason, Amit Korach, Daniel G. Montgomery, Eric M. Isselbacher, Kim A. Eagle
Summary: This study examined the early mortality rates for patients with TAAAD in the contemporary era and found that the mortality rate for the medical group was 0.5% per hour (23.7% at 48 hours), while for the surgical group, 48-hour mortality decreased to 4.4%.
Article
Cardiac & Cardiovascular Systems
Igor Vendramin, Daniela Piani, Andrea Lechiancole, Nunzio Davide de Manna, Sandro Sponga, Michela Puppato, Daniele Muser, Uberto Bortolotti, Ugolino Livi
Summary: The objective of this study was to analyze the effects of chronic oral anticoagulation on long-term outcomes after repair of type A acute aortic dissection and its influence on false lumen fate. The results showed that chronic anticoagulation had no significant effect on long-term survival or risk of reintervention. However, it did favor persistent late false lumen patency, which was not associated with increased risk of mortality or reoperation.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Xiaolang Jiang, Yifan Liu, Lingwei Zou, Bin Chen, Junhao Jiang, Weiguo Fu, Zhihui Dong
Summary: The 5-year clinical outcomes of thoracic endovascular aortic repair for chronic type B aortic dissection were analyzed in this study. It was found that patients with adverse aortic events (AAEs) had higher rates of residual type A aortic dissection and aortic diameter >= 5.5 cm, as well as lower rate of complete false lumen thrombosis, and a longer interval from symptom onset to intervention. Partial or no false lumen thrombosis and aortic diameter >= 5.5 cm were identified as independent risk factors for AAEs.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2023)
Article
Multidisciplinary Sciences
Yu-Ting Cheng, Kuang-Tso Lee, Chih-Hsiang Chang, Victor Chien-Chia Wu, Yi-Shin Chan, Dong-Yi Chen, Pao-Hsien Chu, An-Hsun Chou, Kuo-Sheng Liu, Shao-Wei Chen
Summary: This study evaluated the effectiveness of dexmedetomidine in patients who received surgery for type A aortic dissection. The results showed that post-operative dexmedetomidine infusion significantly reduced the risk of severe acute kidney injury and newly-onset dialysis in these patients.
SCIENTIFIC REPORTS
(2022)
Article
Multidisciplinary Sciences
Zhigang Wang, Pingping Ge, Lichong Lu, Min Ge, Cheng Chen, Lifang Zhang, Dongjin Wang
Summary: This study investigated the influence of dialysis on early and late outcomes in end-stage renal disease patients who underwent acute type A aortic dissection repair surgery. The results showed no significant difference in early operative variables and complications between dialysis and non-dialysis patients, but dialysis patients had lower survival rates and higher rates of late aortic events compared to non-dialysis patients.
SCIENTIFIC REPORTS
(2022)
Article
Cardiac & Cardiovascular Systems
Daniella Eliathamby, Mariana Gutierrez, Aileen Liu, Maral Ouzounian, Thomas L. Forbes, Kong Teng Tan, Jennifer Chung
Summary: The length of the ascending aorta plays a significant role in discriminating patients with type A aortic dissection, especially after adjusting for diameter, age, and sex. This study highlights the importance of ascending aortic length as a diagnostic marker for aortic dissection.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Cardiac & Cardiovascular Systems
Xiaolang Jiang, Bin Chen, Junhao Jiang, Yun Shi, Tao Ma, Weiguo Fu, Zhihui Dong
Summary: This study aimed to evaluate the mid-term outcomes of thoracic endovascular aorta repair (TEVAR) in patients with Marfan syndrome (MFS) and type B aortic dissection (TBAD). A total of 26 MFS patients underwent TEVAR and had a perioperative mortality rate of 0%. The cumulative survival rate at 5 and 10 years was 88.1% and 82.9% respectively. Patients with thrombosed false lumen (FL) had significantly higher survival and freedom from reintervention rates compared to those with patent FL. However, patients with patent FL were at high risk of late death.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Andrew M. Vekstein, Julie W. Doberne, E. Hope Weissler, Charles M. Wojnarski, Chandler A. Long, Adam R. Williams, Ryan P. Plichta, Jeffrey G. Gaca, G. Chad Hughes
Summary: After limited root/ascending repair for acute type A aortic dissection, a significant proportion of patients require distal reintervention, especially for arch pathology. This study presents an institutional algorithm for the management of the arch after previous limited repair, demonstrating promising operative and long-term outcomes.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Bartosz Rylski, Florian Schofer, Friedhelm Beyersdorf, Stoyan Kondov, Maximilian Kreibich, Christopher L. Schlett, Martin Czerny
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Fabian A. Kari, Martin Misfeld, Michael Borger, Bartosz Rylski, Emmanuel Zimmer, Matthias Siepe, Christian Hagl, Christian Detter, Johannes Petersen, Stanislav Tsvelodub, Doreen Richardt, Paul Werner, Martin Andreas, Maximilian Pichlmaier, Christoph S. Mueller
Summary: The German Aortic Root Repair Registry provides initial data and reasons for conversion to prosthetic aortic valve replacement.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Matthias Siepe, Tim Berger, Friedhelm Beyersdorf, Martin Soschynski, Christopher L. Schlett, Martin Czerny, Bartosz Rylski
Summary: This study aimed to evaluate the long-term incidence and outcome of aortic interventions for medically managed uncomplicated thoracic aortic dissections. Among the patients discharged home with uncomplicated aortic dissections, 33% of them required aortic interventions. A descending thoracic aortic diameter exceeding 45 mm was a predictive factor for aortic intervention. The risk for aortic intervention after 1 and 3 years was 27% and 36%, respectively.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Maximilian Kreibich, Bartosz Rylski, Friedhelm Beyersdorf, Martin Czerny, Matthias Siepe
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Mina Farag, Christopher Buesch, Bartosz Rylski, Jochen Poeling, Daniel S. Dohle, Konstantinos Sarvanakis, Christian Hagl, Tobias Krueger, Christian Detter, Tomas Holubec, Michael A. Borger, Andreas Boening, Matthias Karck, Rawa Arif
Summary: Through a comparison study of patients with Marfan syndrome and patients without Marfan syndrome, it was found that Marfan syndrome does not have an adverse effect on 30-day outcomes after surgical repair for acute aortic Stanford type A dissection.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Andrzej Juraszek, Martin Czerny, Bartosz Rylski
Summary: This paper discusses new concepts and developments in the diagnosis, classification, and treatment of aortic dissection, as well as controversies surrounding the topic. It presents novel findings in the patho mechanisms of aortic dissection, including indications for preventive surgery, biomarkers, and four-dimensional (4D)-flow magnetic resonance imaging. New classifications of aortic dissections have been proposed, and recent treatment improvements such as the frozen elephant trunk approach and thoracic endovascular repair are also discussed.
TRENDS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Stoyan Kondov, Friedhelm Beyersdorf, Nora Braun, Rene Hoehn, Christopher Schlett, Bartosz Rylski, Matthias Siepe, Maximilian Kreibich, Roman Gottardi, Martin Czerny
Summary: This study evaluated the morphology of the aortic arch, with a focus on the left subclavian artery (LSA). Through a morphological analysis of computed tomography angiography scans of 322 patients, three types of aortic arch morphology were identified. The majority of patients had a type III arch. There were significant differences in the distance between the left common carotid artery (LCCA) and LSA offspring, as well as in the diameter of the LSA, based on the morphological types.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Tim Berger, Matthias Siepe, Bjoern Simon, Friedhelm Beyersdorf, Zehang Chen, Stoyan Kondov, Christopher L. Schlett, Fabian Bamberg, Aleksandre Tarkhnishvili, Salome Chikvatia, Martin Czerny, Bartosz Rylski, Maximilian Kreibich
Summary: This study aimed to evaluate normal PA diameter, define PA aneurysms, and assess the correlation with aortic diameter, with body surface area being the only influencing factor of PA diameter. The results indicated a normal mean PA diameter of 32.0mm, suggesting that a PA aneurysm should not be considered below 45mm.
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Monika Kosiorowska, Mikolaj Berezowski, Kazimierz Widenka, Maximilian Kreibich, Friedhelm Beyersdorf, Martin Czerny, Bartosz Rylski
Summary: This study described the outcomes of the latest treatment options for acute non-A non-B aortic dissection involving an entry tear in the aortic arch. The majority of patients required aortic arch repair within the first 2 weeks, and total arch replacement with the frozen elephant trunk technique showed low procedural mortality and may become the treatment of choice.
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Mikolaj Berezowski, Johannes Scheumann, Friedhelm Beyersdorf, Marek Jasinski, Tomasz Plonek, Matthias Siepe, Martin Czerny, Bartosz Rylski
Summary: This study assessed the changes in aortic geometry within 30 days after the onset of descending aortic dissection. The results showed that the aortic diameter rapidly increased in the first week, particularly in the first 3 days, and this was associated with the location of the dissection's entry.
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Tim Berger, Maximilian Kreibich, Felix Mueller, Lara Breurer-Kellner, Bartosz Rylski, Stoyan Kondov, Holger Schroefel, Clarence Pingpoh, Friedhelm Beyersdorf, Matthias Siepe, Martin Czerny
Summary: This study analysed the risk factors, underlying mechanisms, and outcomes of postoperative stroke in patients undergoing total aortic arch replacement using the frozen elephant trunk technique. The study found that the incidence of postoperative stroke was 16.8%, with mortality rate of 10%. The most common mechanism of stroke was embolism. Age over 75, bovine arch, and acute preoperative neurological deficit were identified as predictors for postoperative stroke.
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Bartosz Rylski, Oliver Schilling, Martin Czerny
Summary: Remarkable progress has been made in aortic medicine in recent decades, leading to significant changes in the understanding and treatment of thoracic aortic dissection. This state-of-the-art review article explores the mechanisms of acute aortic dissection, the impact of its entry location and dissection extension on clinical presentation and treatment decisions, and presents the latest evidence on novel treatment methods and discussions on dissection classification. Future aspects of treating acute aortic dissection are also discussed.
EUROPEAN HEART JOURNAL
(2023)
Article
Surgery
Bartosz Rylski, Zeynep Berkarda, Friedhelm Beyersdorf, Stoyan Kondov, Martin Czerny, Jaroslaw Majcherek, Marcin Protasiewicz, Artur Milnerowicz
Summary: The success rate of closure with the suture-mediated vascular closure device Perclose ProGlide was evaluated in patients undergoing aortic or iliac artery endovascular repair using large delivery systems (>21F). The closure success rate exceeded 90% in patients using large bore sheaths. Severe femoral artery calcification is the only risk factor for conversion to open surgery.
JOURNAL OF ENDOVASCULAR THERAPY
(2023)
Article
Cardiac & Cardiovascular Systems
Andrzej Juraszek, Tim Berger, Maximilian Kreibich, Konstantinos Tsagakis, Thanos Sioris, Zeynep Berkarda, Bartosz Rylski, Matthias Siepe, Martin Czerny
Summary: The frozen elephant trunk technique is a good treatment option for patients with aneurysms of an aberrant left subclavian artery with Kommerell's diverticulum arising from right aortic arches. Secondary stent graft extension is a frequently needed component of the treatment concept. The most common variant of the aortic arch branching represents 'the bovine aortic arch' with the prevalence of 11-27% in the adult population.
INTERDISCIPLINARY CARDIOVASCULAR AND THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Charlotte Mutter, Julia Benk, Tim Berger, Stoyan Kondov, Salome Chikvatia, Frank Humburger, Martin Roesslein, Felix Ulbrich, Martin Czerny, Bartosz Rylski, Maximilian Kreibich
Summary: This study analysed the risks and benefits of cerebrospinal fluid drainage (CSFD) placement in patients undergoing thoracic endovascular aortic repair. The results showed that preoperative CSFD can potentially help prevent permanent spinal cord ischaemia (SCI), but the decision to perform preoperative CSFD should be based on a comprehensive assessment of other patient factors.
INTERDISCIPLINARY CARDIOVASCULAR AND THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Soh Hosoba, Toshiaki Ito, Makoto Mori, Riku Kato, Koh Kajiyama, Shogo Maeda, Yuji Nakai, Yoshihiro Morishita
Summary: This study describes the approach and perioperative outcomes of totally endoscopic isolated and concomitant surgical aortic valve replacement (AVR) using various valve types. The results demonstrate that endoscopic AVR can safely address concomitant valve diseases.
ANNALS OF THORACIC SURGERY
(2024)