Article
Cardiac & Cardiovascular Systems
Elizabeth L. Norton, Linda Farhat, Xiaoting Wu, Karen M. Kim, Shinichi Fukuhara, Minhaj S. Khaja, David M. Williams, Himanshu J. Patel, Michael Deeb, Bo Yang
Summary: Patients with acute type A aortic dissection who have previously undergone cardiac surgery and malperfusion syndrome have higher in-hospital mortality rates, but similar rates of postoperative complications and 30-day mortality compared to those without previous cardiac surgery. However, their 5-year survival rates are lower.
ANNALS OF THORACIC SURGERY
(2021)
Article
Medicine, General & Internal
Fausto Biancari, Matteo Pettinari, Giovanni Mariscalco, Caius Mustonen, Francesco Nappi, Joscha Buech, Christian Hagl, Antonio Fiore, Joseph Touma, Angelo M. Dell'Aquila, Konrad Wisniewski, Andreas Rukosujew, Andrea Perrotti, Amelie Herve, 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, Timo Makikallio, Metesh Acharya, Zein El-Dean, Mark Field, Amer Harky, Sebastien Gerelli, Dario Di Perna, Mikko Jormalainen, Giuseppe Gatti, Enzo Mazzaro, Tatu Juvonen, Sven Peterss
Summary: This study found that iatrogenic acute Stanford type A aortic dissection (TAAD), although uncommon, carries a significantly higher risk of in-hospital mortality compared to spontaneous TAAD. The 5-year mortality is comparable between different subgroups of iatrogenic TAAD.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Tim Berger, Maximilian Kreibich, Felix Mueller, Bartosz Rylski, Stoyan Kondov, Holger Schroefel, Clarence Pingpoh, Friedhelm Beyersdorf, Matthias Siepe, Martin Czerny
Summary: The study evaluated the outcomes of aortic arch replacement using the frozen elephant trunk technique in patients who had previous proximal and/or distal open or endovascular thoracic aortic repair. The results showed low mortality and morbidity rates, but postoperative stroke remained a concern. After successful procedures, the approach provided an ideal platform for subsequent surgical or endovascular downstream aortic interventions that are often necessary.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2021)
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
Medicine, General & Internal
Jennifer S. Breel, Eline S. de Klerk, Magnus Strypet, Frederiek de Heer, Henning Hermanns, Markus W. Hollmann, Susanne Eberl
Summary: This study aimed to assess the health-related quality of life of patients with Type A acute aortic dissection (TAAAD). The survey results showed that despite difficulties in daily life, patients were satisfied with their treatment and would undergo the procedure again. They also requested better post-discharge guidance and communication.
JOURNAL OF CLINICAL MEDICINE
(2023)
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
Daniella Eliathamby, Mariana Gutierrez, Aileen Liu, Maral Ouzounian, Thomas L. Forbes, Kong Teng Tan, Jennifer Chung
Summary: The length of the ascending aorta plays a significant role in discriminating patients with type A aortic dissection, especially after adjusting for diameter, age, and sex. This study highlights the importance of ascending aortic length as a diagnostic marker for aortic dissection.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2021)
Article
Multidisciplinary Sciences
Zhipeng Hu, Zhiwei Wang, Xinping Min, Bowen Li, Min Zhang, Feifeng Dai, Xin Cai
Summary: The surgical treatment of synchronous type A aortic dissection and abdominal aortic aneurysm is complex and rarely reported. However, we have recently achieved successful outcomes by performing sequential two staged surgeries on a patient.
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
Multidisciplinary Sciences
Qian-hui Tang, Jing Chen, Zhen Long, Xuan-an Su, Yu-Lin Wang, Jian-ye Qiu, Zhong Qin, Han Yang, Que Li, Ming Hu, Xiao Qin
Summary: This study retrospectively evaluated the safety and efficacy of thoracic endovascular aortic repair (TEVAR) in patients with type B aortic dissection and identified risk factors for long-term mortality. The findings showed that TEVAR was associated with lower in-hospital mortality, death within 30 days, and aortic-related mortality compared to optimal medical treatment. Cox analysis also revealed that a vertical length of the dissection exceeding 150 mm increased the risk of mortality.
Article
Cardiac & Cardiovascular Systems
Markus Bjurbom, Christian Olsson, Arnar Geirsson, Tomas Gudbjartsson, Jarmo Gunn, Emma C. Hansson, Vibeke Hjortdal, Anders Jeppsson, Ari Mennander, Jacob Ede, Igor Zindovic, Anders Ahlsson, Anders Wickbom, Magnus Dalen
Summary: This study aimed to evaluate the association between previous cardiac surgery and outcomes after surgery for acute type A aortic dissection. The results showed that major adverse events were more frequent in patients with previous cardiac surgery, but previous cardiac surgery itself was not an independent predictor for adverse events.
ANNALS OF THORACIC SURGERY
(2023)
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
Biology
Chloe H. Armour, Baolei Guo, Simone Saitta, Selene Pirola, Yifan Liu, Zhihui Dong, Xiao Yun Xu
Summary: Quantitative assessment of the complex hemodynamic environment in type B aortic dissection through computational fluid dynamics simulations has been validated using a patient-specific workflow incorporating diverse in vivo data. The study demonstrates good consistency between CFD-predicted blood flow velocities and pressures with in vivo measurements, offering valuable insights into disease progression and treatment evaluation.
COMPUTERS IN BIOLOGY AND MEDICINE
(2022)
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
Dusko G. Nezic, Igor S. Zivkovic, Miroslav D. Milicic, Petar A. Milacic, Dragana N. Kosevic, Mladen Boricic, Stasa D. Krasic, Slobodan Micovic
Summary: This study validated the prediction accuracy of EuroSCORE II and GERAADA score in predicting 30-day mortality in patients undergoing surgery for acute type A aortic dissection. The results demonstrated that EuroSCORE II outperformed GERAADA score in discriminative power, but both scores showed good calibration ability.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2022)