This video is a balanced, gripping presentation on an increasingly common emergency problem for the on-call cardiac surgeon. Professor Oo discusses the evolving landscape of surgery for acute De Bakey I and II pathologies of the aortic organ.
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Ascending Aorta
March 14, 2024
In the last decades, four different scores for the prediction of mortality following surgery for type A acute aortic dissection (TAAD) were proposed. Researchers aimed to validate these scores in a large external multicenter cohort. The study retrospectively analyzed patients who underwent surgery for TAAD between 2000 and 2020.
March 7, 2024
In this article the authors aimed to report the midterm outcomes after endovascular aortic repair in patients with Marfan or Loeys-Dietz syndrome. Patients were analyzed based on the timing of the procedure, whether it was an elective or emergency procedure, and the nature of the landing zone (safe vs. unsafe).
January 4, 2024
Acute type A aortic dissection is a highly morbid condition, with high mortality approaching about 40 percent. The authors of this article report that women tend to present with more atypical symptoms and have earlier deterioration compared to men, including neurological dysfunction and more aortic rupture events before surgical intervention.
October 4, 2023
A newly published review by Dr. David on aortic valve sparing operations
September 5, 2023
This is the latest (third) version of Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection
August 24, 2023
The risk of dissection associated with fluoroquinolone use has gained wide acceptance, but recent data indicate there’s more to the story. Pasternak and colleagues report a Swedish, multicenter, propensity-matched study of one million treatment episodes examining the relationship between fluoroquinolone use and aneurysm or dissection.
June 23, 2023
This single-center study of 299 patients operated on for type-A aortic dissection between 1992 and 2020 reported lower ten-year mortality (32 percent) after prosthetic or valve-sparing root replacement compared with ascending aorta replacement (52 percent; hazard ratio, 1.38; 95 percent CI, 1.12-1.68) without resecting the coronary sinuses, and lower
April 13, 2023
By analyzing a cohort of patients with aortic aneurysms who were not undergoing surgery, this study aimed to determine the natural course of an aortic aneurysm. The patients’ ascending aortic aneurysms grew very slowly, and growth over 0.2 cm per year was rarely seen.
January 6, 2023
This study compares the clinical outcomes of two operative strategies for type A aortic dissection with true lumen collapse and malperfusion downstream, which is associated with a devastating prognosis.