Review
Surgery
Samuel Heuts, Bouke P. Adriaans, Michal J. Kawczynski, Jean H. T. Daemen, Ehsan Natour, Roberto Lorusso, Simon Schalla, Jos G. Maessen, Joachim E. Wildberger, Michael J. Jacobs, Bartosz Rylski, Elham Bidar
Summary: This study compared the outcomes of proximal aortic repair and total arch replacement in surgery for acute type A aortic dissection. The results showed that while total arch replacement was beneficial for 10-year survival rate, proximal aortic repair performed better in reducing early mortality and complications.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR 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
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)
Review
Cardiac & Cardiovascular Systems
Likang Ma, Tianci Chai, Xiaojie Yang, Xinghui Zhuang, Qingsong Wu, Liangwan Chen, Zhihuang Qiu
Summary: This study suggests that hemiarch replacement surgery may lead to better early outcomes for patients with ATAAD, but it is associated with a higher late mortality rate compared to total arch replacement. Decisions regarding the extent of arch repair should be based on the location and severity of ATAAD, as well as the experience of surgeons.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Cardiac & Cardiovascular Systems
Qiang Xie, Chengnan Li, Yongliang Zhong, Congcong Luo, Rutao Guo, Yongmin Liu, Jun Zheng, Yipeng Ge, Lizhong Sun, Junming Zhu
Summary: This study evaluated the impact of transfusing different blood products on postoperative mechanical ventilation time in patients with ATAAD. The study found that transfusion of pRBCs and PC, as well as age, were independent risk factors for prolonged mechanical ventilation after surgery.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
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)
Review
Cardiac & Cardiovascular Systems
Ameen M. Basha, Randy D. Moore, Kenton L. Rommens, Eric J. Herget, R. Scott McClure
Summary: TEAAR is an emerging alternative for the treatment of aortic arch disease in high-risk patients. A systematic review of TEAAR was conducted to evaluate its early outcomes. The study found that TEAAR is mainly indicated for chronic arch dissection with degenerative aneurysmal disease and pure arch aneurysm.
CANADIAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Lin-Feng Xie, Jian He, Qing-Song Wu, Zhi-Huang Qiu, De-Bin Jiang, Hang-Qi Gao, Liang-wan Chen
Summary: This study investigated the clinical advantages of using a partial upper sternotomy versus a conventional full sternotomy for total arch replacement in obese patients with acute type A aortic dissection. The results showed that the partial upper sternotomy group had better surgical outcomes and postoperative recovery compared to the full sternotomy group.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Jun Li, Yiping Sun, Tianyu Zhou, Yongshi Wang, Yongxin Sun, Hao Lai, Chunsheng Wang
Summary: The study compared early and mid-term outcomes between David reimplantation and the Bentall procedure with TAR and SET in ATAAD patients, finding comparable in-hospital mortality and incidence of major perioperative complications between the two groups.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
James A. Brown, Derek Serna-Gallegos, Forozan Navid, Floyd W. Thoma, Jianhui Zhu, Rishabh Kumar, Edgar Aranda-Michel, Valentino Bianco, Sarah Yousef, Ibrahim Sultan
Summary: The study aimed to investigate the long-term impact of developing acute renal failure (ARF) on survival after open aortic arch reconstruction for acute type A aortic dissection (ATAAD). The results showed that patients with ARF had worse short-term outcomes, including increased in-hospital mortality and longer length of hospital stay. The development of postoperative ARF was significantly associated with an increased hazard of death over the study's follow-up time-period.
JOURNAL OF CARDIAC SURGERY
(2022)
Review
Medicine, General & Internal
Edel P. Kavanagh, Sherif Sultan, Fionnuala Jordan, Ala Elhelali, Declan Devane, Dave Veerasingam, Niamh Hynes
Summary: There is currently insufficient data to compare the outcomes of hybrid repair versus conventional open repair for aortic arch dissection. Hybrid repair may be more favorable, but more research is needed to draw definite conclusions. Future studies should consider adequate sample sizes and long-term follow-up to assess clinically relevant outcomes.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
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
Surgery
Ulugbek Negmadjanov, John C. Motta, W. Anthony Lee
Summary: The study evaluated the feasibility and outcomes of total endovascular repair of aortic arch aneurysms using a novel triple-branch arch endograft. While technically successful, there are significant anatomic and mechanical challenges that require further refinements in endograft design and optimal bridging stent technology.
ANNALS OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Jinlin Wu, Juntao Qiu, Zhongrong Fang, Qipeng Luo, Yao Huang, Cuntao Yu, Guyan Wang
Summary: The study found that in total arch replacement surgery for type A aortic dissection, a higher degree of hypothermic cardiac arrest has a certain effect on reducing the risk of composite major outcomes, especially in older patients. Quartile analysis showed that the lower temperature group had worse outcomes, while the higher temperature group had better outcomes.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2021)
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)