Article
Cardiac & Cardiovascular Systems
Hong Liu, Ying-yuan Zhang, Xiao-hang Ding, Si-chong Qian, Ming-yu Sun, Al-Wajih Hamzah, Ya-nan Gao, Yong-feng Shao, Hai-yang Li, Kai Wang, Bu-qing Ni, Hong-jia Zhang
Summary: This study evaluated the impact of proximal vs extensive repair on mortality in patients with acute type A aortic dissection and examined how patient characteristics influence this impact. The results showed that extensive repair had a higher operative mortality compared to proximal repair, indicating a higher risk. The choice of surgery should be based on individualized risk prediction and treatment effectiveness.
ANNALS OF THORACIC SURGERY
(2023)
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
Cardiac & Cardiovascular Systems
Haiyang Chang, Yongzheng Wang, Bin Liu, Wujie Wang, Yuliang Li
Summary: This study aimed to compare the safety and effectiveness of fenestrated technique with or without chimney stent and single-branched stent graft for isolated left subclavian artery revascularization during endovascular repair of acute type B aortic dissection. The results showed that both techniques are feasible and safe, and contribute to favorable aortic remodeling.
ANNALS OF THORACIC SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Panagiotis T. Tasoudis, Dimitrios E. Magouliotis, Dimitrios N. Varvoglis, Ioannis A. Ziogas, Mohammad Yousuf Salmasi, Konstantinos Spanos, Antonios Kourliouros, Miltiadis Matsagkas, Athanasios Giannoukas, Thanos Athanasiou
Summary: By comparing the safety and efficacy of proximal repair (PR) and extensive repair (ER) for acute type A aortic dissection (ATAAD), it was found that patients undergoing PR had lower in-hospital mortality and post-operative bleeding. However, the PR group had higher odds of late mortality. There were no significant differences in post-operative complications and reoperation rates between the two groups.
GENERAL THORACIC AND CARDIOVASCULAR 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)
Review
Cardiac & Cardiovascular Systems
WenXin Zhao, Yang Yang, ZhiYuan Wu, ZuoGuan Chen, YongPeng Diao, Yong Lan, YongJun Li
Summary: This study conducted a meta-analysis to evaluate the optimal timing for endovascular repair of acute versus subacute uncomplicated Type B Aortic Dissection. The results showed that the acute group had higher rates of 30-day complications, mortality, and 1-year mortality compared to the subacute group. Therefore, endovascular repair at the subacute phase appears to be more favorable than the acute phase.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Surgery
Masahiko Narita, Masahiro Tsutsui, Ryouhei Ushioda, Yuta Kikuchi, Tomonori Shirasaka, Natsuya Ishikawa, Hiroyuki Kamiya
Summary: This study compared the short- and long-term outcomes of proximal repair and extensive arch surgery for acute DeBakey type I aortic dissection. The results showed no significant differences in long-term cumulative survival and freedom from aortic reintervention between the two surgical strategies. Limited aortic resection appears to achieve acceptable patient outcomes.
FRONTIERS IN 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
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
Anfeng Yu, Min Zhang, Zhiwei Wang, Zhipeng Hu, Rui Hu, Qiubei Xiao
Summary: This study investigated the clinical outcomes of elephant trunk stent fenestration in ATAAD patients, showing that this technique can reduce surgical difficulty and lead to a high postoperative survival rate.
ANNALS OF THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Christopher Lau, N. Bryce Robinson, Woodrow J. Farrington, Mohamed Rahouma, Ivancarmine Gambardella, Mario Gaudino, Leonard N. Girardi
Summary: An analysis of a conservative approach to repairing ATAAD showed favorable operative outcomes without compromising durability.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Andreina Carbone, Brigida Ranieri, Rossana Castaldo, Monica Franzese, Salvatore Rega, Antonio Cittadini, Martin Czerny, Eduardo Bossone
Summary: A systematic review and meta-analysis were conducted to investigate sex differences in patients with type A acute aortic dissection (AAD). The study found that female sex phenotype is evident in type A AAD, suggesting the need for personalized management and tailored preventive strategies. Interestingly, while in-hospital surgical mortality did not differ between sexes, 5- and 10-year survival was higher among men. More sex-specific data from international clinical registries and trials are needed.
EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Bardia Arabkhani, Jos Verhoef, Anton Tomsic, Thomas J. van Brakel, Jesper Hjortnaes, Robert J. M. Klautz
Summary: The effect of an aggressive approach on the aortic root in acute type A aortic dissection (ATAAD) remains insufficiently explored. The study analyzed a retrospective cohort of ATAAD patients aged 18 years and older between 1992 and 2020. Patients were divided into two groups: aortic root replacement (ARR) and conservative root approach (CRA). The results showed that over the years, ARR increased and was associated with better long-term survival and fewer reinterventions compared to CRA.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Changcun Fang, Shan Gao, Xiao Ren, Xinyan Pang, Xin Zhao, Zengshan Ma, Chen Wang, Kai Liu
Summary: The adventitial eversion and prosthesis eversion technique for proximal anastomosis in AAAD patients showed advantages such as shorter operation time, cardiopulmonary bypass time, aortic cross-clamp time, and decreased fresh frozen plasma transfusion requirements.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
George J. Arnaoutakis, Takuya Ogami, Himanshu J. Patel, Chih-Wen Pai, Elise M. Woznicki, Derek R. Brinster, Bradley G. Leshnower, Derek Serna-Gallegos, Raffi Bekeredjian, Thoralf M. Sundt, Andrew W. Shaffer, Mark D. Peterson, Guillaume S. C. Geuzebroek, Kim A. Eagle, Santi Trimarchi, Ibrahim Sultan
Summary: This study validates the impact of postoperative acute kidney injury (AKI) on in-hospital and long-term outcomes in patients undergoing repair for type A acute aortic dissection (TAAAD). Several risk factors for AKI were identified, and it was found to be associated with increased operative and long-term mortality.
ANNALS OF THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Shuwei Wang, Xiwu Zhang, Yang Yuan, Mengwei Tan, Le Zhang, Xiang Xue, Yan Yan, Lin Han, Zhiyun Xu
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2015)
Article
Cardiac & Cardiovascular Systems
Xi-Wu Zhang, Bo-Yao Zhang, Shu-Wei Wang, De-Jun Gong, Lin Han, Zhi-Yun Xu, Xiao-Hong Liu
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2014)
Article
Cardiac & Cardiovascular Systems
Shuwei Wang, Zhenzhen Wang, Bing Zhou, Zhifang Liu, Fuyang Mei, Chentao Luo, Xiaofeng Lu, Yong Cui
Summary: This study achieved good surgical results by using a minimally invasive, video-assisted single-port thoracotomy to treat HOCM patients with refractory symptoms.
JOURNAL OF CARDIAC SURGERY
(2022)