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Acute Type A Aortic Dissection and the Consequences of a Patent False Lumen

Friday, June 4, 2021

Submitted by

Saurabh Gupta

Source

Source Name: Journal of Thoracic and Cardiovascular Surgery Techniques

Source URL: https://www.jtcvstechniques.org/article/S2666-2507(21)00362-X/fulltext

Author(s)

Abigail White, MD; Sabin J. Bozso, MD; Maral Ouzounian, MD, PhD; Michael W. A. Chu, MD; Michael C. Moon, MD; on behalf of Canadian Thoracic Aortic Collaborative

A good discussion on the concepts of:

1. aortic true lumen and false lumen behavior after repair of acute Type A aortic dissection
2. distal anastomotic new entry tear after hemiarch repair
3. impact of above on clinical outcomes
4. strategies on preventing distal anastomotic entry tear

The authors communicate that improved understanding of these hemodynamic conditions may serve to improve surgical technique, guide creation of novel devices toward new therapeutic targets, reduce surgical risk, and ultimately improve patient outcomes.