Article
Cardiac & Cardiovascular Systems
Yutaka Okita, Hiraku Kumamaru, Noboru Motomura, Hiroyuki Miyata, Shinichi Takamoto
Summary: Approximately 30,000 patients with acute aortic dissection underwent open surgery in the past six years according to the nationwide Japanese database. The number of operations has increased, and in-hospital mortality has been stable or decreasing.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Keiji Uchida, Tomoyuki Minami, Tomoki Cho, Shota Yasuda, Keiichiro Kasama, Shinichi Suzuki, Munetaka Masuda
Summary: Total arch replacement is associated with fewer distal aortic events in patients with type A acute aortic dissection, compared to ascending aortic replacement. The distal aortic event-free rate in the ascending aortic replacement group decreases over time, while the rate remains stable in the total arch replacement group. Patients with a dissected arch are at higher risk of distal aortic events.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
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
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
Medicine, General & Internal
Jan Naar, Dagmar Vondrakova, Andreas Kruger, Marek Janotka, Iva Zemanova, Martin Syrucek, Petr Neuzil, Petr Ostadal
Summary: TAVR is a minimally invasive therapeutic procedure that is becoming increasingly popular worldwide. There have been sporadic cases of late prosthesis-related aortic dissection, which can be life-threatening. We present a case of a 76-year-old male who experienced in-hospital cardiac arrest due to aortic dissection after a TAVR procedure. This complication may become more common as the number of TAVR recipients increases.
JOURNAL OF CLINICAL MEDICINE
(2023)
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
Medicine, General & Internal
Igor Vendramin, Daniela Piani, Andrea Lechiancole, Sandro Sponga, Concetta Di Nora, Francesco Londero, Daniele Muser, Francesco Onorati, Uberto Bortolotti, Ugolino Livi
Summary: The study compares the outcomes of two different surgical strategies for patients with acute Type A aortic dissection (A-AAD). It shows that an aggressive approach to A-AAD provides better long-term results without increasing mortality, and immediate aortic arch replacement during A-AAD repair leads to a lower incidence of late aortic-related complications.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Nupoor Narula, Richard B. Devereux, Eloisa Arbustini, Xiaoyue Ma, Jonathan W. Weinsaft, Leonard Girardi, Grace P. Malonga, Mary J. Roman
Summary: The study explores the determinants of type B dissection risk in patients with Marfan syndrome (MFS) and finds that patients who undergo aortic root replacement surgery, independent mitral valve surgery, and have type II dissection are more likely to develop type B dissection.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Suguru Ohira, Ramin Malekan, Masashi Kai, Joshua B. Goldberg, Igor Laskowski, Corazon De La Pena, Ian Mason, Steven L. Lansman, David Spielvogel
Summary: This study investigated the lack of data on reoperation after acute type A aortic dissection (ATAD) repair. The study found that reoperation can be safely performed as an elective procedure at experienced centers, with durable outcomes.
ANNALS OF THORACIC SURGERY
(2023)
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
Medicine, General & Internal
Igor Vendramin, Andrea Lechiancole, Daniela Piani, Sandro Sponga, Concetta Di Nora, Daniele Muser, Uberto Bortolotti, Ugolino Livi
Summary: With increasing experience and a more aggressive approach, including total arch replacement, repair of type A acute aortic dissection can be performed with low operative mortality and high survival rates in many patients. Patient care and treatment by a specific team organization allows faster diagnosis and referral for surgery, further improving early and late outcomes.
MEDICINA-LITHUANIA
(2021)
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
Erik Beckmann, Andreas Martens, Tim Kaufeld, Ruslan Natanov, Heike Krueger, Linda Rudolph, Axel Haverich, Malakh Shrestha
Summary: Full root replacement does not increase the perioperative risk in patients who undergo frozen elephant trunk for acute aortic dissection. Careful patient selection is important for such complex procedures. Continuous myocardial perfusion can help reducing the risk for intraoperative complications during such complex operations.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Review
Biology
Xun Yuan, Andreas Mitsis, Christoph A. Nienaber
Summary: Aortic dissection is a life-threatening condition caused by a tear in the intimal layer of the aorta. Rapid diagnosis and advanced treatment are crucial in managing this condition.
Article
Cardiac & Cardiovascular Systems
Zhou Fang, Haiyang Li, Thomas M. Warburton, Junming Zhu, Yongmin Liu, Lizhong Sun, Wenjian Jiang, Hongjia Zhang
Summary: This study describes two different situations of type A aortic dissection (TAAD) following thoracic endovascular aortic repair (TEVAR). The surgical methods used to repair TAAD after TEVAR are introduced, and the long-term prognosis is evaluated. The TAR and FET technique is found to be feasible and effective for treating complicated TAAD after TEVAR, with satisfactory surgical success rate and long-term prognosis.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
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)