Article
Cardiac & Cardiovascular Systems
Yosuke Inoue, Hitoshi Matsuda, Jiro Matsuo, Takayuki Shijo, Atsushi Omura, Yoshimasa Seike, Kyokun Uehara, Hiroaki Sasaki, Junjiro Kobayashi
Summary: Resection of a primary entry tear is essential for treating Stanford type A acute aortic dissection. The study found that entry exclusion through the use of new technologies like the frozen elephant trunk technique and TEVAR can help reduce dissection-related reoperations in patients with DeBakey type III retrograde-AAAD.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Eduard Charchyan, Denis Breshenkov, Yuriy Belov
Summary: This study presented the initial experience of using a new dissection-specific hybrid stent graft with a soft distal end in the frozen elephant trunk technique for patients with non-acute DeBakey type I aortic dissection. The results indicated that this approach can effectively reduce the incidence of distal complications compared to non-soft distal stent grafts, with no significant differences among the groups and similar follow-up outcomes. Long-term observations are needed to fully understand the potential benefits and drawbacks of the new prosthesis.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)
Article
Genetics & Heredity
Zhaoshui Li, Jumiao Wang, Qiao Yu, Ruxin Shen, Kun Qin, Yu Zhang, Youjin Qiao, Yifan Chi
Summary: By analyzing gene expression data of ATAAD patients, immune-related gene signatures were identified and 8 immune-related genes were identified as potential biomarkers and therapeutic targets.
FRONTIERS IN GENETICS
(2022)
Article
Cardiac & Cardiovascular Systems
Xing Liu, Xinyi Liu, Hong Yu, Yuehang Yang, Jiawei Shi, Qiang Zheng, Kan Wang, Fayuan Liu, Ping Li, Cheng Deng, Xingjian Hu, Long Wu, Huadong Li, Junwei Liu
Summary: In this study, patients who underwent hybrid total arch replacement (HTAR) via ministernotomy and total arch replacement with frozen elephant trunk (TAR + FET) procedures were compared. The results showed that the HTAR group had shorter operation time, aortic cross clamp time, operation duration, ICU stay, and postoperative hospital stay compared to the TAR + FET group. The HTAR group also required less intraoperative transfusion.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Health Care Sciences & Services
Lin Li, Ziwei Zeng, Vugar Yagublu, Nuh Rahbari, Christoph Reissfelder, Michael Keese
Summary: This study identified 13 hub genes related to inflammation in type A aortic dissection (TAAD), which may serve as potential therapeutic targets for preventing TAAD.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Xingxing Yao, Jin Wang, Yang Lu, Xiaofan Huang, Xinling Du, Fuqiang Sun, Yangchao Zhao, Fei Xie, Dashuai Wang, Chao Liu
Summary: This study aimed to establish an early risk prediction model for reintubation after Stanford type A aortic dissection surgery (AADS) and clarify its relationship with short-term and long-term prognosis. The results showed that reintubation was closely associated with adverse in-hospital outcomes but had no statistically significant association with long-term outcomes in patients who were discharged successfully after surgery.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Emergency Medicine
Makoto Aoki, Satomi Senoo, Takaaki Mori, Takuya Fukada, Yoshiaki Kawai, Taku Kazamaki, Shokei Matsumoto, Masashi Morizane
Summary: Extracorporeal cardiopulmonary resuscitation (E-CPR) is gaining interest in resuscitation, but has a high complication rate, with one of the common complications being acute aortic dissection caused by veno-arterial extracorporeal membrane oxygenation (VA-ECMO).
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Health Care Sciences & Services
Jianjun Gu, Ziying Chen
Summary: Hybrid surgery for Stanford type A aortic dissection shows promising clinical efficacy in reducing surgical risks and postoperative complications, with successful outcomes in all cases studied. However, long-term effects remain unclear, requiring further research.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2021)
Article
Cardiac & Cardiovascular Systems
Arsalan Amin, Ravi K. Ghanta, Qianzi Zhang, Rodrigo Zea-Vera, Todd K. Rosengart, Ourania Preventza, Scott A. LeMaire, Joseph S. Coselli, Subhasis Chatterjee
Summary: This study investigated the readmission rates after surgical repair of acute Stanford type A aortic dissection (TAAD) and identified acute kidney injury and a higher Elixhauser comorbidity index as independent risk factors for readmission. Approximately 30% of patients were readmitted within 90 days, with the majority of readmissions occurring between days 31 and 90 after surgery. Targeted improvements in perioperative care and postdischarge follow-up, as well as efforts to reduce comorbidities, could help mitigate readmission rates.
ANNALS OF THORACIC SURGERY
(2022)
Article
Respiratory System
Mona Salehi Ravesh, Mohamed Salem, Georg Lutter, Christine Friedrich, Veronika Walter, Thomas Puehler, Jochen Cremer, Assad Haneya
Summary: This study retrospectively evaluated the impact of surgical techniques, circulatory management, and postoperative care on the surgical outcomes of patients with DeBakey type I and II aortic dissections. It found that patients with DeBakey type I had higher rates of surgical duration, circulatory arrest time, re-thoracotomy, postoperative delirium, and tracheotomy. However, there were no significant differences in 30-day mortality or long-term survival rates between the two groups.
JOURNAL OF THORACIC DISEASE
(2021)
Article
Cardiac & Cardiovascular Systems
Shigeki Koizumi, Yosuke Inoue, Kento Shinzato, Koki Yokawa, Mio Kasai, Kenta Masada, Yoshimasa Seike, Hiroaki Sasaki, Hitoshi Matsuda
Summary: By reviewing the medical records of 359 patients with R-AAAD, 83 patients were selected for thoracic endovascular aortic repair. The results showed that the surgical mortality and the rate of neurologic complications were low, and most of the dissection-related complications were resolved. Therefore, the indications for thoracic endovascular aortic repair can be expanded to low-risk and emergency cases.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Enzehua Xie, Jinlin Wu, Juntao Qiu, Lu Dai, Jiawei Qiu, Qipeng Luo, Wenxiang Jiang, Fangfang Cao, Rui Zhao, Shuya Fan, Wei Gao, Hongwei Guo, Xiaogang Sun, Cuntao Yu
Summary: This study compared the early outcomes of three surgical techniques for type I aortic dissection and found no significant differences among them. Therefore, the choice of surgical procedure can be relatively flexible based on patient status and surgeon expertise. Long-term investigations are needed to further assess the equivalence in efficacy and safety of these approaches.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
Article
Surgery
Yanyan Song, Li Liu, Bo Jiang, Yun Wang
Summary: The study identified risk factors for cerebral neurological complications after surgery for Stanford type A aortic arch surgery, including DHCA time >40 min, plasma transfusion >800 ml, erythrocyte suspension transfusion >6 U, history of stroke, and carotid plaque or stenosis. Patients with these risk factors should receive intervention during treatment to reduce neurological complications.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Murat Yildiz, Maria Nucera, Silvan Jungi, Paul Philipp Heinisch, Selim Mosbahi, Daniel Becker, Matthias Siepe, Florian Schoenhoff
Summary: This study aimed to determine the outcome of Stanford type B aortic dissection in patients with Marfan syndrome (MFS) and to evaluate aortic diameters at the time of dissection as well as the impact of previous aortic root replacement. The study found that Stanford type B dissection occurs below accepted thresholds for intervention in patients with MFS. Two-thirds of patients require intervention after dissection, and there is no difference in freedom from type B dissection between different surgical procedures.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Chun-Yu Lin, Tao-Hsin Tung, Meng-Yu Wu, Chi-Nan Tseng, Feng-Chun Tsai
Summary: The DeBakey classification divides Stanford acute type A aortic dissection (ATAAD) into DeBakey type I (D1) and type II (D2) based on the extent of acute aortic dissection (AAD). This retrospective study compared the early and late outcomes of D1-AAD and D2-AAD through a propensity score-matched analysis. The results showed that patients with D1-AAD had a higher risk of in-hospital mortality, but for patients who survived to discharge, the 5-year survival rates were comparable between D1 and D2 groups.
JOURNAL OF CARDIOTHORACIC SURGERY
(2021)
