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.
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Aortic Root
January 21, 2022
December 12, 2021
Interesting early work on the prognostic value in aortic disease of the cross-link component in the elastin.
October 31, 2021
In this large series, Dr.
October 22, 2021
A brief focused commentary on a recent medium size Japanese series of succesful surgery for Acute Aortic Syndrome. The limitations of the series presented in well- written Uchida manuscript( and already to the last AATS Meeting) are being explored, and the commentators' allusion to the need for randomised trial is evident.
September 27, 2021
A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in aortovascular surgery and ECMO
September 24, 2021
A comprehensive update on the evidence on the management of acute aortic syndromes, including IMH. Of particular interest is the robust recommendation to bypass non-dedicated aortic centers even to the expense of increased transit time in order to offer management in a Comprehensive Aortic Center (CAC).
September 14, 2021
Based on data of 4203 patients with acute type A dissection in the UK National Adult Cardiac Surgical Audit, Benedetto and associates have identified the following risk factors for operative mortality: age (odds ratio, OR, 1.02), malperfusion (OR 1.79), left ventricular ejection fraction (moderate: OR 1.40; poor: OR 2.83), prior cardiac surgery (OR 2
September 13, 2021
A brief but dense editorial included in a compedium on cardioplegia.
The last sentence summarises what many colleagues would think on the matter of single-shot plegia for root surgery.
July 22, 2021
On July 22, The Annals of Thoracic Surgery published this consensus statement on nomenclature and classification of the congenital bicuspid aortic valve (BAV) and Its aortopathy.
June 4, 2021
A good discussion on the concepts of:
1. aortic true lumen and false lumen behavior after repair of acute Type A aortic dissection2. distal anastomotic new entry tear after hemiarch repair3. impact of above on clinical outcomes4. strategies on preventing distal anastomotic entry tear