This study used data from the International Registry of Acute Aortic Dissection to explore the rates and outcomes of root replacement vs more conservative management in patients with acute type A dissections. Root replacement patients were younger, had greater root diameter, were more often affected by Marfans, had a higher incidence of AI, and were
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Thoracic Aorta
December 3, 2014
November 29, 2014
Randomized multicenter trial comparing losartan versus atenolol in young patients with Marfan's syndrome with no significant difference in aortic root dilation between groups.
November 26, 2014
Goldberg and colleagues provide an excellent review on a complex topic: intramural hematomas.
October 9, 2014
This is an amazing Ted.com video on Tal Golesworthy who designed his own aortic root
September 16, 2014
This retrospective review summarizes a single institution experience with thoracic aortic endovascular stenting in 420 pts over 20 years. Indications were aneurysm (238), dissection (100) and trauma (39). 78% of pts were deemed to be at high risk for open repair. Mortality was 4.8%, stroke incidence was 5%, and cord ischemia was temporary in 7.9%
August 14, 2014
This retrospective review reports on single-institution results for management of aneurysms involving the entire aorta using a 2-stage elephant trunk technique. 288 pts had only a first stage operation, and 157 pts underwent a complete 2 stage repair. Mortality was 9.1% and stroke rate after stage 1 was 3.4%. Mortality prior to 2nd stage repair w
August 5, 2014
The outcomes of repair of acute type A dissection using aortic valve resuspension and sinus of Valsalva reinforcement were tracked in 489 pts operated 1993-2013. Hospital mortality was 11%. 5-year survival was 69%, and freedom from proximal reoperation was 96% at 5 years.
July 28, 2014
The authors deal with a dramatic complication of acute Type A aorticdissection - mesenteric malperfusion. They reviewed 309 papers on acuteaortic dissection and concluded that initial interventional management ofmesenteric malperfusion followed by delayed proximal aortic repair is a
July 4, 2014
The timing of repair of blunt aortic injury in patients with concomitant traumatic brain injury is controversial. This single institution retrospective review analyzed outcomes in 75 pts with blunt aortic injury and traumatic brain injury, comparing early repair (<24 hrs after admission) to delayed repair. Pts undergoing early repair suffered wo
June 20, 2014
The retrospective study compared 143 patients who underwent open aortic repair and 50 patients with hybrid thoracic endovascular aortic repair (TEVAR) for non-dissecting aortic arch aneurysms.