Article
Radiology, Nuclear Medicine & Medical Imaging
Hongliang Zhao, Chengxiang Li, Zhenxiao Jin, Weixun Duan, Lei Shang, Yingjuan Chang, Jingji Xu, Jialiang Ren, Shushen Lin, Yan Wang, Li Zhu, Gang Wang, Xin Chen, Chao He, Minwen Zheng
Summary: A nomogram, based on simple imaging and clinical variables collected on admission, showed good discrimination and calibration abilities in predicting preoperative AIS for ATAAD patients.
EUROPEAN RADIOLOGY
(2023)
Article
Medicine, General & Internal
Ming Ma, Hailong Cao, Kai Li, Jun Pan, Qing Zhou, Xinlong Tang, Xichun Qin, Feng Zhu, Dongjin Wang
Summary: EuroSCORE II and GERAADA are two commonly used risk scoring systems in cardiovascular surgery. This study evaluated their predictive performance for surgical mortality in acute type A aortic dissection patients. The results showed that EuroSCORE II had better accuracy in predicting surgical mortality, while GERAADA had a higher predictive rate compared to the observed mortality rate.
JOURNAL OF CLINICAL MEDICINE
(2023)
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
Medicine, General & Internal
Yan Ren, Shiyao Huang, Qianrui Li, Chunrong Liu, Ling Li, Jing Tan, Kang Zou, Xin Sun
Summary: The methodological quality of studies on prognostic factors and prediction models for mortality among patients with AAD was found to be suboptimal, with varying model performance. More efforts are needed to improve the methodology in this population.
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
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
Manabu Yamasaki, Hideaki Yoshino, Takashi Kunihara, Koichi Akutsu, Tomoki Shimokawa, Hitoshi Ogino, Mitsuhiro Kawata, Toshiyuki Takahashi, Michio Usui, Kazuhiro Watanabe, Hiroshi Masuhara, Takeshi Yamamoto, Ken Nagao, Morimasa Takayama
Summary: This study found that male sex, use of percutaneous circulatory assist devices, shock, cardiac and cerebral ischemia are independent preoperative risk factors for early mortality after acute type A aortic dissection repair, while cardiac tamponade, cerebral and mesenteric ischemia are independent postoperative risk factors.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Stevan S. Pupovac, Jonathan M. Hemli, Joseph E. Bavaria, Himanshu J. Patel, Santi Trimarchi, Davide Pacini, Raffi Bekeredjian, Edward P. Chen, Truls Myrmel, Maral Ouzounian, Christina Fanola, Amit Korach, Daniel G. Montgomery, Kim A. Eagle, Derek R. Brinster
Summary: The study concluded that the surgical strategy of MHCA + antegrade cerebral perfusion is at least as safe as DHCA during repair of acute type A aortic dissection.
ANNALS OF THORACIC SURGERY
(2021)
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
Public, Environmental & Occupational Health
Junquan Chen, Yunpeng Bai, Hong Liu, Mingzhen Qin, Zhigang Guo
Summary: The study aimed to create a prediction model for in-hospital death in Chinese patients with acute type A aortic dissection (ATAAD). A retrospective derivation cohort of 340 patients from Tianjin and a retrospective validation cohort of 153 patients from Nanjing were used. Variable selection was done using least absolute shrinkage and selection operator analysis, and risk scoring was done using logistic regression coefficients. A risk classifier was established based on independent baseline data using a multivariable logistic model. The prediction performance was evaluated using the receiver operating characteristic curve (ROC). Individualized clinical decision-making was conducted using decision curve analysis (DCA). The risk prediction model showed good performance in predicting in-hospital death in ATAAD patients.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Medicine, General & Internal
Yanya Lin, Jianxiong Hu, Rongbin Xu, Shaocong Wu, Fei Ma, Hui Liu, Ying Xie, Xin Li
Summary: Logistic regression and artificial intelligence algorithms were used to analyze the risk factors for early rupture of acute type A aortic dissection (ATAAD). Data from electronic medical records of 200 ATAAD patients were collected. Prediction models were established using logistic regression and artificial intelligence algorithms, and the performance of four models was analyzed.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Dadi Helgason, Solveig Helgadottir, Anders Ahlsson, Jarmo Gunn, Vibeke Hjortdal, Emma C. Hansson, Anders Jeppsson, Ari Mennander, Shahab Nozohoor, Igor Zindovic, Christian Olsson, Stefan Orri Ragnarsson, Martin Sigurdsson, Arnar Geirsson, Tomas Gudbjartsson
Summary: This study examined the occurrence of AKI in patients undergoing surgery for ATAAD in 8 Nordic centers from 2005 to 2014. AKI was found to be a common complication after ATAAD surgery and independently predicted adverse long-term outcomes, emphasizing the importance of close clinical follow-up for these patients.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Alessandro Della Corte, Antonino Salvatore Rubino, Antonio Pio Montella, Ciro Bancone, Federica Lo Presti, Denise Galbiati, Giovanni Dialetto, Marisa De Feo
Summary: This study identified specific geometric characteristics of the ascending aorta associated with ATAAD, such as the asc-arch angle and total length. Patients with ATAAD showed significantly elongated ascending aortas and uniquely narrower angles, which can help differentiate ATAAD from a normal aorta.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Multidisciplinary Sciences
Yasushi Tashima, Shinichi Iwakoshi, Takeshi Inoue, Noriyuki Nakamura, Taichi Sano, Naoyuki Kimura, Takashi Inoue, Koichi Adachi, Atsushi Yamaguchi
Summary: A higher aortic Agatston score is correlated with larger true lumen area and less distal progression of aortic dissection in patients with acute type A aortic dissection (ATAAD).
Article
Computer Science, Information Systems
Ling Tan, Yun Tan, Jiaohua Qin, Hao Tang, Xuyu Xiang, Dongshu Xie, Neal N. Xiong
Summary: This work focuses on the risk prediction of aortic dissection surgery under the influence of the COVID-19 pandemic. A general scheme of medical data processing is proposed, and the fusion decision model proposed in this study achieves 100% accuracy for early postoperative mortality prediction, outperforming machine learning methods based on a single model. The results identify critical factors related to postoperative mortality, providing a theoretical basis for clinical operation planning and risk avoidance.
CMC-COMPUTERS MATERIALS & CONTINUA
(2021)
Article
Pediatrics
Stasa Krasic, Sergej Prijic, Sanja Ninic, Ruzica Borovic, Gordana Petrovic, Mila Stajevic, Dejan Nesic, Ivan Dizdarevic, Nemanja Djordjevic, Vladislav Vukomanovic
Summary: This study identified independent risk factors for recurrence in pediatric acute pericarditis, including high erythrocyte sedimentation rate, absence of myocarditis, elevated C-reactive protein levels, and non-idiopathic etiology pericarditis. Non-steroid anti-inflammatory therapy should be the first choice in treatment, and a combination of colchicine and non-steroid anti-inflammatory drugs is recommended for recurrent pericarditis.
JORNAL DE PEDIATRIA
(2021)
Letter
Cardiac & Cardiovascular Systems
Martin Czerny, Manuel Feisst
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Milos M. Jovanovic, Slobodan Micovic, Miodrag S. Peric, Igor S. Zivkovic, Stasa D. Krasic, Ognjen S. Milicevic, Stefan P. Stankovic, Petar M. Vukovic
Summary: This study evaluated the safety and effectiveness of open surgical aortic valve replacement (SAVR) using different surgical approaches, and found that SAVR performed in a high-volume center is associated with a low mortality rate. Less invasive surgical approaches result in faster postoperative recovery and shorter hospital stays.
TEXAS HEART INSTITUTE JOURNAL
(2022)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Dusko Nezic
TRENDS IN CARDIOVASCULAR MEDICINE
(2023)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Stasa Krasic, Ivan Dizdarevic, Lana Vranic, Dejan Nesic, Vladislav Vukomanovic
Summary: The clinical presentation, course, and treatment of isolated right ventricular hypoplasia (IRVH) depend on the degree of hypoplasia and can be treated through surgical or percutaneous repair.
JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE
(2023)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Letter
Cardiac & Cardiovascular Systems
Dusko Nezic
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)