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2021 The American Association for Thoracic Surgery Expert Consensus Document: Surgical Treatment of Acute Type A Aortic Dissection

Friday, January 21, 2022

Submitted by

Thomas Theologou

Source

Source Name: The Journal of Thoracic and Cardiovascular Surgery

Source URL: https://doi.org/10.1016/j.jtcvs.2021.04.053

Author(s)

S. Christopher Malaisrie, MD, Wilson Y. Szeto, MD, Monika Halas, MD, Leonard N. Girardi, MD, Joseph S. Coselli, MD, Thoralf M. Sundt III, MD, Edward P. Chen, MD, Michael P. Fischbein, MD, PhD, Thomas G. Gleason, MD, Yutaka Okita, MD, Maral Ouzounian, MD, PhD, Himanshu J. Patel, MD, Eric E. Roselli, MD, Malakh L. Shrestha, MD, PhD, Lars G. Svensson, MD, PhD, and Marc R. Moon, MD, the AATS Clinical Practice Standards Committee: Adult Cardiac Surgery

Acute type A aortic dissection remains a challenging emergency in cardiovascular surgery.The management of life-threatening complications has evolved to include endovascular options and complex aortic repair, but expeditious open replacement of the ascending aorta remains the preferred approach. This expert consensus offers recommendations based on current clinical evidence and expert opinions where all cardiac and aortic surgeons needed to be updated.

Notions like antimpulse management preoperatively in order to avoid aortic stress and stabilize the patient using opioid analgesia, thinking about a transfer to a (CAC) comprehensive aortic center after analyzing the recent evidence, focusing on clinical questions that are crucial for the decision making in all aspects, this excellent document gives answers based on the current literature.