Article
Obstetrics & Gynecology
Zhigang Wang, Hongyan Sun, Chi Zhang, Lichong Lu, Lifang Zhang, Dongjin Wang
Summary: This study evaluated the efficacy and safety of performing cesarean section surgery before aortic repair after acute type A aortic dissection during pregnancy. The results indicated that aortic repair can be safely performed in the third-trimester.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Article
Medicine, General & Internal
Hironobu Nishiori, Hisanori Fujita, Seiichi Yamaguchi
Summary: Cardiopulmonary bypass for trauma patients carries the risk of bleeding from injured organs, while traumatic aortic dissection can progress rapidly. It is sometimes difficult to determine the optimal time for aortic repair in trauma patients. An 85-year-old woman was diagnosed with traumatic ascending aortic dissection, right clavicle and left first rib fracture, and abdominal contusions after a vehicle accident. After admission, the aortic dissection progressed, and emergent surgery was performed. Although the risk of hemorrhagic complications needs to be evaluated, prompt aortic repair is required.
CLINICAL CASE REPORTS
(2023)
Article
Multidisciplinary Sciences
Marten Larsson, Igor Zindovic, Johan Sjogren, Peter J. Svensson, Karin Strandberg, Shahab Nozohoor
Summary: This study evaluated the hemostatic system in patients with acute type aortic dissection (ATAAD) undergoing surgery using ROTEM. The results showed that ATAAD patients had activated coagulation before surgery and experienced further damage to the hemostatic system during surgery. However, ROTEM was not able to fully detect the coagulopathy in ATAAD, highlighting the need for a specific transfusion protocol and routine laboratory tests.
SCIENTIFIC REPORTS
(2022)
Article
Physiology
Zhigang Wang, Jingfang Xu, Xiaofeng Cheng, Lifang Zhang, Dongjin Wang, Jun Pan
Summary: This study aimed to evaluate the clinical significance of postoperative hyperbilirubinemia (PH) after acute type A aortic dissection (ATAAD) surgical repair. The results showed a high incidence of PH, which was associated with worse short- and long-term prognosis. Age, preoperative total bilirubin level, pericardial tamponade, CPB duration, and postoperative CVP level were identified as risk factors for the development of PH.
FRONTIERS IN PHYSIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Zairong Lin, Kun'an Huang, Dongdong Chen, Qianzhen Li
Summary: Severe bronchospasm during cardiopulmonary bypass is a rare but potentially fatal event. This case report highlights the occurrence of severe bronchospasm during surgery for type A aortic dissection. Extracorporeal membrane oxygenation is presented as an alternative and effective therapy for refractory bronchospasm.
HEART SURGERY FORUM
(2021)
Article
Medicine, Research & Experimental
Liang Zhong, Hongyan Xiong, Jing Li, Yong He, Heping Zhou
Summary: This study retrospectively investigated the early outcomes of Sun's procedure in elderly patients with ATAAD. The results showed that there were no significant differences in preoperative and postoperative data, as well as postoperative complications, between elderly and younger patients, indicating that age should not be a reason to deny elderly patients from undergoing surgery.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2022)
Review
Cardiac & Cardiovascular Systems
Gabor Erdoes, Aamer Ahmed, Stephan D. Kurz, Daniel Gerber, Daniel Bolliger
Summary: Coagulopathy is common in thoracic aortic repair surgery, and it is crucial to understand the underlying pathological conditions and implement appropriate coagulation therapy.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Review
Anesthesiology
Harish Ram, Sanjay Dwarakanath, Ashley E. Green, Johannes Steyn, Eugene A. Hessel
Summary: Iatrogenic aortic dissection is a rare but life-threatening complication associated with cardiac surgery. It requires attention from the cardiac surgery team to improve patient survival rates. The incidence varies, with a higher mortality rate if not recognized promptly, and commonly occurs at arterial inflow cannula, aortic clamps, and vein anastomosis sites.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2021)
Article
Cardiac & Cardiovascular Systems
Shenghua Liang, Yanxiang Liu, Bowen Zhang, Yaojun Dun, Hongwei Guo, Xiangyang Qian, Xiaogang Sun
Summary: This study compared the clinical outcomes of double arterial cannulation, axillary cannulation, and femoral cannulation in patients undergoing frozen elephant trunk for type A aortic dissection. The results showed that for patients requiring longer cardiopulmonary bypass duration, the double arterial cannulation approach was associated with improved overall survival compared to axillary and femoral cannulation.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Cardiac & Cardiovascular Systems
Kaushalendra Rathore, Mark Newman
Summary: With advancements in technology, the management of Type A aortic dissection is shifting towards more aggressive surgical interventions, although there is still no standardized protocol for the extent of resection of diseased aortic tissue.
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY
(2022)
Article
Surgery
Shen Sun, Chen-Yen Chien, Ya-Fen Fan, Shye-Jao Wu, Jiun-Yi Li, Yu-Hern Tan, Kung-Hong Hsu
Summary: In patients undergoing surgery for TAAD, those without pre-operative shock had lower in-hospital mortality and better long-term survival. Retrograde cerebral perfusion (RCP) showed better outcomes in reducing post-operative neurological deficits compared to antegrade cerebral perfusion (ACP) for brain protection during surgery for TAAD patients.
ASIAN JOURNAL OF SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
J. Trent Magruder, Stuart J. Weiss, Katie Gray DeAngelis, John Haddle, Nimesh D. Desai, Wilson Y. Szeto, Michael A. Acker
Summary: Low oxygen delivery (DO2) during cardiac surgery may be associated with morbidity and mortality, particularly in patients undergoing nonisolated coronary artery bypass grafting (CABG). These findings emphasize the importance of goal-directed perfusion strategies.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Yang-Xue Sun, Mao-Long Meng, Gang Li, Hong-Wei Guo
Summary: This article presents a rare case of left axillary arterial cannulation for type A aortic dissection surgery. Left axillary cannulation is a safe and effective choice when right axillary and femoral cannulation are not safe and reliable.
JOURNAL OF CARDIOTHORACIC SURGERY
(2022)
Article
Medicine, General & Internal
Chi-Hsiang Huang, Yi-Chia Wang, Hen-Wen Chou, Shu-Chien Huang
Summary: The study focused on optimal selective cerebral perfusion (SCP) management during neonatal aortic arch surgery. Mild hypothermia was induced during SCP, and tissue oxygenation monitor was used during cardiopulmonary bypass (CPB) to ensure adequate perfusion. Results showed efficient maintenance of brain perfusion with SCP, but demonstrated contrasting effects on renal and lower extremity tissue oxygenation during the surgery.
FRONTIERS IN MEDICINE
(2021)
Article
Cardiac & Cardiovascular Systems
Wenjun Wang, Feng Gao, Xuezhi He, Yang Gao, Lei Shi, Wei Liu, Xijing Zhuang
Summary: This study aimed to evaluate the postoperative clinical effects of tolvaptan in patients with type A aortic dissection. A retrospective analysis was performed on 45 patients and the results showed no significant differences between the tolvaptan group and the traditional diuretics group in terms of mechanical ventilation duration, postoperative blood required, catecholamine use, etc. However, the tolvaptan group had a significantly lower incidence of postoperative atrial fibrillation.
BMC CARDIOVASCULAR DISORDERS
(2023)
