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
Cardiac & Cardiovascular Systems
Dadi Helgason, Solveig Helgadottir, Anders Ahlsson, Jarmo Gunn, Vibeke Hjortdal, Emma C. Hansson, Anders Jeppsson, Ari Mennander, Shahab Nozohoor, Igor Zindovic, Christian Olsson, Stefan Orri Ragnarsson, Martin Sigurdsson, Arnar Geirsson, Tomas Gudbjartsson
Summary: This study examined the occurrence of AKI in patients undergoing surgery for ATAAD in 8 Nordic centers from 2005 to 2014. AKI was found to be a common complication after ATAAD surgery and independently predicted adverse long-term outcomes, emphasizing the importance of close clinical follow-up for these patients.
ANNALS OF THORACIC SURGERY
(2021)
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
Cardiac & Cardiovascular Systems
Andrew M. Vekstein, Julie W. Doberne, E. Hope Weissler, Charles M. Wojnarski, Chandler A. Long, Adam R. Williams, Ryan P. Plichta, Jeffrey G. Gaca, G. Chad Hughes
Summary: After limited root/ascending repair for acute type A aortic dissection, a significant proportion of patients require distal reintervention, especially for arch pathology. This study presents an institutional algorithm for the management of the arch after previous limited repair, demonstrating promising operative and long-term outcomes.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Manabu Yamasaki, Hideaki Yoshino, Takashi Kunihara, Koichi Akutsu, Tomoki Shimokawa, Hitoshi Ogino, Mitsuhiro Kawata, Toshiyuki Takahashi, Michio Usui, Kazuhiro Watanabe, Takeshiro Fujii, Takeshi Yamamoto, Ken Nagao, Morimasa Takayama
Summary: This study investigated the early outcomes in patients with type A acute aortic dissection who presented with cardiopulmonary arrest. Aortic surgery and age over 80 years were found to be related to mortality in these patients. There were some differences between patients with in-hospital and out-of-hospital CPA, but these differences were not significant.
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
(2023)
Article
Cardiac & Cardiovascular Systems
Dashuai Wang, Sheng Le, Jingjing Luo, Xing Chen, Rui Li, Jia Wu, Yu Song, Fei Xie, Ximei Li, Hongfei Wang, Xiaofan Huang, Ping Ye, Xinling Du, Anchen Zhang
Summary: This study investigated the incidence, risk factors, and outcomes of postoperative headache (POH) after Stanford type A acute aortic dissection surgery (AADS) and developed two prediction models. By identifying independent predictors, nomograms predicting POH were constructed, providing clinical utility in risk evaluation, early prevention, and doctor-patient communication.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(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
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
Yixiao Zhang, Yulin Wang, Jinmiao Chen, Jun Li, Yongxin Sun, Hao Lai, Chunsheng Wang, Qiang Ji
Summary: The association between sex and clinical outcomes after surgical repair of acute type A aortic dissection was studied in this research. The study found that there were no significant differences in terms of in-hospital and midterm outcomes between male and female patients who underwent extended arch repair for ATAAD. However, female patients tended to be older, have a lower body mass index, and were less likely to be current smokers compared to male patients.
CANADIAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Lauren Huckaby, Ibrahim Sultan, Santi Trimarchi, Bradley Leshnower, Edward P. Chen, Derek R. Brinster, Truls Myrmel, Anthony L. Estrera, Daniel G. Montgomery, Amit Korach, Hans -Henning Eckstein, Joseph S. Coselli, Takeyoshi Ota, Clayton A. Kaiser, Kim A. Eagle, Himanshu J. Patel, Thomas G. Gleason
Summary: In-hospital mortality remains higher among women with TAAD but shows improvement in the last decade. Significant differences in presentation were noted in women, including older age and greater evidence of malperfusion. Although no distinctions in 5-year mortality or reintervention were observed, a tailored surgical approach should be considered to reduce sex disparities in early mortality rates for TAAD.
ANNALS OF THORACIC SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Vincenzo Vento, Sebastien Multon, Ramzi Ramadan, Philippe Deleuze, Dominique Fabre, Julien Guihaire, Stephan Haulon
Summary: Ascending aorta wrapping is associated with favorable early outcomes and a low rate of aortic events during follow-up. This therapeutic option should be considered for patients considered too fragile for standard surgical repair.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Chen-Han Zhang, Yi-Peng Ge, Yong-Liang Zhong, Hai-Ou Hu, Zhi-Yu Qiao, Cheng-Nan Li, Jun-Ming Zhu
Summary: The study found that massive bleeding in ATAAD patients undergoing emergent aortic repair is highly associated with gender, emergent surgery, increased D-dimer levels, longer CPB time, anemia, and the use of complex surgical strategies.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
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
Medicine, General & Internal
Mohamed Salem, Michael Salib, Christine Friedrich, Mostafa Salem, Thomas Puehler, Jan Schoettler, Felix Schoeneich, Jochen Cremer, Assad Haneya
Summary: This study found that elderly patients undergoing emergency surgical repair for AAAD had a significantly higher 30-day mortality rate than younger patients, but there was no significant difference in the occurrence of postoperative neurological complications. Minimizing operation time may help reduce the risk of postoperative neurological complications.
JOURNAL OF CLINICAL MEDICINE
(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)