Late aortic root redissection following surgical treatment for acute type A aortic dissection using Gelatin-Resorcin-Formalin glue

2002 ◽  
Vol 50 (5) ◽  
pp. 195-200 ◽  
Author(s):  
Kotaro Suehiro ◽  
Takato Hata ◽  
Hidenori Yoshitaka ◽  
Yoshimasa Tsushima ◽  
Mitsuaki Matsumoto ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
Aortic Root ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection

Short- and long-term outcomes of aortic root-sparing repair and replacement in acute type A aortic dissection repair

2021 ◽  
pp. 021849232110150
Author(s):  
Tillana Nirav Tarkas ◽  
Carla Stoicescu ◽  
Wahaj Munir ◽  
Mohamad Bashir ◽  
Benjamin Adams
Keyword(s):  
Decision Making ◽  
Aortic Dissection ◽  
Aortic Root ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Definitive Answer ◽  
Significant Difference ◽  
Current Controversy ◽  
Short And Long Term

Acute type A aortic dissection is a surgical emergency with a high mortality rate if left untreated. Management of the aortic root in this setting constitutes an intricate decision-making framework, further complicated by the emergent nature of the dissection. There exists much controversy regarding pursuit of the aggressive aortic root replacement versus a conservative root-sparing repair, alongside considerations for valve-sparing root replacement. In this review, we critically appraise the current controversy in the literature considering the fate of the aortic root, discussing the aforementioned root interventions for which provides better outcomes for mortality and risk of re-intervention. Literature search was performed using electronic database through PubMed, Google scholar, and Embase focussing on studies reporting outcomes and re-intervention rates for these approaches. Limited by the heterogeneity in surgical strategy, with most studies being single-centred retrospective experiences, further fuel this ongoing debate. The literature reveals rather contrasting results whilst comparing root-sparing repair, versus the extensive root replacement; whilst some studies report no statistically significant difference, others show one superior over the other. There is greater consensus when considering risk of re-operation, with studies showing higher rates of re-operation in root-sparing group compared to replacement; however, many others show no statistically significant difference. In conclusion, the conflicting outcomes reported in the literature, with their inherent limitations, results in the current inability to reach a definitive answer. There remains support in the current literature for both approaches with much of the decision-making being surgeon-bound with many significant influencing factors on a case-by-case basis.

Extended and Total Aortic Resection in the Surgical Treatment of Acute Type A Aortic Dissection: Experience with 54 Patients

1988 ◽  
Vol 46 (4) ◽  
pp. 420-424 ◽  
Author(s):  
Carlo G. Massimo ◽  
Luigi F. Presenti ◽  
Piezluigi Marranci ◽  
Piero P. Favi ◽  
Alberto G. Poma ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection

scholarly journals Surgical Treatment of Acute Type A Aortic Dissection with 18-Litre Bleeding

Aorta ◽  
2021 ◽  
Vol 09 (01) ◽  
pp. 030-032
Author(s):  
Sergey Y. Boldyrev ◽  
Kirill O. Barbukhatty ◽  
Vladimir A. Porhanov
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Type I ◽  
Acute Type ◽  
Drug Induced ◽  
Type A Aortic Dissection ◽  
Mortality And Morbidity ◽  
Perioperative Bleeding

AbstractSurgical treatment of Type-A acute aortic dissection is associated with high mortality and morbidity. One of the reasons is perioperative bleeding, which may lead to worse outcomes. We present a case of successful treatment of a patient with 18-litre perioperative blood loss in DeBakey Type-I acute aortic dissection with drug-induced hypocoagulation and malperfusion of a lower extremity.

scholarly journals Valve-Sparing Aortic Root Replacement as First-Choice Strategy in Acute Type a Aortic Dissection

2019 ◽  
Vol 6 ◽  
Author(s):  
Hug Aubin ◽  
Payam Akhyari ◽  
Philipp Rellecke ◽  
Christina Pawlitza ◽  
George Petrov ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Root ◽  
Type A ◽  
Aortic Root Replacement ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Choice Strategy ◽  
First Choice ◽  
Valve Sparing

scholarly journals Influence of False Lumen Status on the Prognosis of Acute Type A Aortic Dissection without Urgent Surgical Treatment

2017 ◽  
Vol 24 (2) ◽  
pp. 169-175
Author(s):  
Akihito Tanaka ◽  
Hideki Ishii ◽  
Susumu Suzuki ◽  
Tomoyuki Ota ◽  
Hideki Oshima ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
False Lumen ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection

scholarly journals A New Aortic Root Reinforcement Technique for Acute Type A Aortic Dissection Surgery

2019 ◽  
Vol 60 (5) ◽  
pp. 1131-1136 ◽  
Author(s):  
Cuilin Zhu ◽  
Hulin Piao ◽  
Yong Wang ◽  
Tiance Wang ◽  
Dan Li ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Root ◽  
Type A ◽  
Acute Type ◽  
Root Reinforcement ◽  
Type A Aortic Dissection
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