Article
Medicine, General & Internal
Thierry Carrel, Thoralf M. Sundt, Yskert von Kodolitsch, Martin Czerny
Summary: Despite advancements in the prevention, diagnosis, and treatment of acute aortic dissection, it remains a complex cardiovascular event with high mortality and morbidity rates. Recent research has improved our understanding of the disease's pathophysiology and led to reevaluations of existing classifications. There is a shift towards a unified naming system based on morphology and function. The location and extent of the initial tear, as well as the affected aortic segments, determine the appropriate management approach - emergency surgery, endovascular intervention, or medical treatment. Ongoing scientific evidence continues to shape the management and follow-up of acute aortic dissection, the most severe form of acute aortic syndrome.
Article
Cardiac & Cardiovascular Systems
Yi Chang, Xiangyang Qian, Hongwei Guo, Yizhen Wei, Cuntao Yu, Xiaogang Sun, Bo Wei, Qiong Ma, Yi Shi
Summary: This study compared outcomes between sinus replacement (SR) and conservative repair (CR) for dissected roots with normal size. The results showed that there was no significant difference in postoperative mortality and reoperation rate between SR and CR. Sinus replacement had the advantages of eliminating false lumen and avoiding aortic root bleeding.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Xiao-Fu Dai, Guan-Hua Fang, Liang-Liang Yan, Yi Dong, Gui-Can Zhang, Zheng Xu, Liang-Wan Chen
Summary: The study evaluated the midterm outcomes of 147 patients who underwent valve-sparing aortic root repair with the patch neointima technique for acute type A aortic dissection. The results demonstrated stable function of aortic valves and no expansion of the aortic root in the midterm follow-up period.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Markian M. Bojko, Roland Assi, Joseph E. Bavaria, Maham Suhail, Andreas Habertheuer, Robert W. Hu, Joey Harmon, Rita K. Milewski, Nimesh D. Desai, Wilson Y. Szeto, Prashanth Vallabhajosyula
Summary: The study compared the clinical and functional outcomes between patients undergoing root repair and root replacement for acute type A aortic dissection. The survival rate was similar between the two groups, but the incidence of aortic insufficiency and root dilation may be greater after root repair compared to root replacement.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Jing Zhang, Wenrui Ma, Jinmiao Chen, Dan Zhu, Yuan Zhang, Ye Kong, Jianfeng Zhang, Wei Zhang
Summary: After surgeries for extensive acute aortic dissection, distal aortic remodeling beyond the stent graft coverage is a local anatomical behavior independent of dissection type or medication influence. False lumen patency is a key factor in predicting DAR at different aortic levels.
ANNALS OF THORACIC SURGERY
(2021)
Article
Oncology
Ling-Chen Huang, Zheng Xu, Xiao-Fu Dai
Summary: Valve-sparing aortic root replacement is a good option for younger patients with acute type A aortic dissection. A new patch technique was designed and successfully used in 35 patients to reconstruct the aortic root and preserve the aortic valve. The surgery is simple to operate and showed good results with normal sinus diameter 3 months post-operation.
ANNALS OF TRANSLATIONAL MEDICINE
(2021)
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)
Editorial Material
Cardiac & Cardiovascular Systems
Alessandro Leone, Gregorio Gliozzi, Luca Di Marco, Daniela Votano, Marianna Berardi, Luca Botta, Giuditta Coppola, Davide Pacini
Summary: In patients with operated type A aortic dissections, careful neuroprotective strategies and shorter operative times are crucial to reduce the incidence of irreversible spinal cord injury (SCI); despite optimal perioperative management, delayed-onset SCI remains a rare complication.
ANNALS OF THORACIC SURGERY
(2021)
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
Igor Vendramin, Andrea Lechiancole, Daniela Piani, Laura Deroma, Annarita Tullio, Sandro Sponga, Aldo D. Milano, Francesco Onorati, Uberto Bortolotti, Ugolino Livi
Summary: In the surgical treatment of acute type A aortic dissection, preserving the aortic root has shown acceptable long-term outcomes. However, in patients with aortic root diameter greater than 45 mm, a more aggressive approach may be a valid option.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Evaldas Girdauskas, Johannes Petersen, Uemniye Balaban, Eva Herrmann, Timm Bauer, Andreas Beckmann, Raffi Bekeredjian, Stephan Ensminger, Christian Frerker, Helge Moellmann, Thomas Walther, Sabine Bleiziffer
Summary: AV repair/AV-sparing root surgery is an effective strategy for treating young patients with aortic regurgitation and/or aortic root aneurysm. This study analyzed real-world data from the German Aortic Valve Registry and found that the surgical procedure resulted in satisfactory clinical outcomes, including high survival rates and freedom from cardiac adverse events at one year. Additionally, the specific surgical technique used did not significantly impact the outcomes.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Tianyang Yang, Haini Wen, Ismail El-Hamamsy, Qiming Ni, Yanbin Sun, Dan Zhu
Summary: By measuring the normal dimensions and relationship between aortic root and leaflets in the Chinese population, this 3DCT-based study aimed to establish a reference for aortic valve repair. The study found specific correlations and ratios that could be used to assess leaflet-root mismatch and post-repair outcomes.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Jeanine Anand, Marie Schafstedde, Christian Giebels, Hans-Joachim Schaefers
Summary: Survival after tricuspid aortic valve repair is good, considering the age of the patients. Repair of cusp retraction has a poorer durability compared with repair of prolapse. The use of effective height in tricuspid aortic valve repair is associated with improved survival.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Klaus Kallenbach, Christopher Buesch, Bartosz Rylski, Daniel-Sebastian Dohle, Tobias Krueger, Thomas Holubec, Jens Brickwedel, Jochen Poeling, Thilo Noack, Christian Hagl, Philipp Jawny, Andreas Boening, Khaled Chalabi, Matthias Karck, Rawa Arif
Summary: This study aimed to interpret the strategies of aortic root surgery in German AADA patients. The results showed that supracommissural replacement was the preferred surgical method for elderly and compromised patients. Extended root preservation techniques may be used for selected patients, even in combination with extended aortic arch surgery, with promising early outcomes.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Physiology
Qianwen Hou, Guimei Liu, Ning Liu, Honghui Zhang, Zhuoran Qu, Hanbing Zhang, Hui Li, Youlian Pan, Aike Qiao
Summary: This study investigated the impact of valve height on the performance of aortic valve opening and closing, suggesting that smaller H-V is adapted to smaller D-AA and H-V of 14.5 mm enhances repair durability.
FRONTIERS IN PHYSIOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Joshua S. Vapnik, Joon. Bum Kim, Eric M. Isselbacher, Brian B. Ghoshhajra, Yisha Cheng, Thoralf M. Sundt, Thomas E. MacGillivray, Richard P. Cambria, Mark E. Lindsay
AMERICAN JOURNAL OF CARDIOLOGY
(2016)
Article
Cardiac & Cardiovascular Systems
Ju Yong Lim, Joon Bum Kim, Suk Jung Choo, Cheol Hyun Chung, Jae Won Lee, Sung Ho Jung
ANNALS OF THORACIC SURGERY
(2016)
Article
Cardiac & Cardiovascular Systems
Dong Hyun Yang, Dae-Hee Kim, Mark D. Handschumacher, Robert A. Levine, Joon Bum Kim, Byung Joo Sun, Jeong Yoon Jang, Namkug Kim, Seunghee Baek, Joon-Won Kang, Jong-Min Song, Duk-Hyun Kang, Tae-Hwan Lim, Jae-Kwan Song
EUROPEAN HEART JOURNAL-CARDIOVASCULAR IMAGING
(2017)
Article
Cardiac & Cardiovascular Systems
Jihoon Kim, Sun Kyun Ro, Joon Bum Kim, Sung-Ho Jung, Cheol Hyun Chung, Jae Won Lee, Suk Jung Choo
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2017)
Article
Cardiac & Cardiovascular Systems
Sun Kyun Ro, Wan Kee Kim, Ju Yong Lim, Jae Suk Yoo, Sang-Bum Hong, Joon Bum Kim
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2018)
Article
Medicine, General & Internal
Go-Woon Kim, Younsuck Koh, Chae-Man Lim, Jin Won Huh, Sung Ho Jung, Joon Bum Kim, Sang-Bum Hong
KOREAN JOURNAL OF INTERNAL MEDICINE
(2018)
Editorial Material
Cardiac & Cardiovascular Systems
Seung Hyuk Nam, Hyuck Kim, Sun Kyun Ro
ANNALS OF THORACIC SURGERY
(2020)
Article
Cardiac & Cardiovascular Systems
Hyo Jun Jang, Jun Ho Lee, Seung Hyuk Nam, Sun Kyun Ro
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2020)
Article
Cardiac & Cardiovascular Systems
Jun Ho Lee, Hyun Ju Lee, Hyun-Kyung Park, Ja-Hye Ahn, Hee Sun Kim, Hyo Jun Jang, Sun Kyun Ro, Hyuck Kim
JOURNAL OF CARDIOTHORACIC SURGERY
(2020)
Article
Cardiac & Cardiovascular Systems
Jun Ho Lee, Yongil Cho, Yun Jin Kim, Yang Hyun Cho, Yong Ho Jeong, Hyo Jun Jang, Sun Kyun Ro, Hyuck Kim
Summary: Individuals with a lower income level have an increased risk of poorer long-term outcomes after coronary artery bypass grafting (CABG) compared to those with a higher income level. This study provides evidence of the impact of individual socioeconomic status on clinical outcomes after CABG.
ANNALS OF THORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Jeong-Hun Shin, Sun Kyun Ro
Summary: This article reports a case of newly developed coronary artery aneurysm in an adult with recent COVID-19 infection. The authors call for further evaluation of the impact of COVID-19 on the occurrence of coronary artery aneurysm.
Review
Cardiac & Cardiovascular Systems
Sun Kyun Ro, Kei Sato, Shinichi Ijuin, Declan Sela, Gabriele Fior, Silver Heinsar, Ji Young Kim, Jonathan Chan, Hideaki Nonaka, Aaron C. W. Lin, Gianluigi Li Bassi, David G. Platts, Nchafatso G. Obonyo, Jacky Y. Suen, John F. Fraser
Summary: The right ventricle (RV) plays a critical role in hemodynamics and failure of the right ventricle often leads to poor clinical outcomes. Current diagnosis of right ventricular failure relies on patients' symptoms and signs, but not on objective parameters. The geometric complexity of the RV makes it difficult to accurately assess its function. Advanced techniques, such as artificial intelligence and 3-dimensional assessment, have the potential to improve RV assessment by increasing accuracy and reproducibility. Further studies are needed to validate these advanced technologies in different populations.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Medicine, General & Internal
Jun Ho Lee, Yongil Cho, Yang Hyun Cho, Hyunggoo Kang, Tae Ho Lim, Hyo Jun Jang, Sun Kyun Ro, Hyuck Kim
JOURNAL OF KOREAN MEDICAL SCIENCE
(2020)
Article
Cardiac & Cardiovascular Systems
Foeke J. H. Nauta, Joon Bum Kim, Himanshu J. Patel, Mark D. Peterson, Hans-Henning Eckstein, Ali Khoynezhad, Marek P. Ehrlich, Marco Di Eusanio, Alessandro Della Corte, Daniel G. Montgomery, Christoph A. Nienaber, Eric M. Isselbacher, Kim A. Eagle, Thoralf M. Sundt, Santi Trimarchi
SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY
(2017)
Article
Cardiac & Cardiovascular Systems
Sung-Han Yoon, Young-Hak Kim, Dong Hyun Yang, Jae-Hyung Roh, Eun Young Lee, Pil Hyung Lee, Daisuke Sugiyama, Mineok Chang, Jung-Min Ahn, Won Jin Choi, Joon-Won Kang, Tae-Hwan Lim, Joon Bum Kim, Sung-Ho Jung, Cheol Hyun Chung, Suk Jung Choo, Jae Won Lee, Soo-Jin Kang, Duk-Woo Park, Seung-Whan Lee, Cheol Whan Lee, Seong-Wook Park, Seung-Jung Park
AMERICAN JOURNAL OF CARDIOLOGY
(2017)