scholarly journals An Extra-anatomic Bypass for Stanford Type B Acute Aortic Dissection Associated with Acute Renal Failure

2014 ◽  
Vol 75 (1) ◽  
pp. 64-67
Author(s):  
Akiko YONENAGA ◽  
Hideki MISHIMA ◽  
Yasushi KATAYAMA ◽  
Hiroki MATSUNAGA ◽  
Susumu ISHIKAWA
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Stanford Type B

scholarly journals Acute Thoracic Aortic Dissection (Stanford Type B) Complicated with Acute Renal Failure

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Li Li ◽  
ShunJiu Zhuang ◽  
ShaoHong Qi ◽  
JiaSheng Cui ◽  
JunWen Zhou ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Late Onset ◽  
Treatment Plan ◽  
Thoracic Endovascular Aortic Repair ◽  
Type B ◽  
Systemic Symptoms ◽  
Stanford Type B

We report a recent case and review some literatures of acute aortic dissection (AAD) Stanford type B complicated with late onset of acute renal failure. The patient underwent preoperational peritoneal dialysis followed by thoracic endovascular aortic repair (TEVAR) and was fully recovered and discharged soon after surgery. We conclude that an AAD case is difficult to achieve a timely diagnosis, but with attention to systemic symptoms and dedication thorough treatment plan, a full recovery and positive prognosis are expected.

scholarly journals Two-stage Operation for Stanford Type B Acute Aortic Dissection with Renal Blood Flow Reduction

2018 ◽  
Vol 79 (4) ◽  
pp. 708-712
Author(s):  
Yusuke SHIMIZU ◽  
Susumu ISHIKAWA ◽  
Hideki MISHIMA ◽  
Yuki MATSUNAGA ◽  
Yuki NISHIHARA ◽  
...  
Keyword(s):  
Blood Flow ◽  
Aortic Dissection ◽  
Renal Blood Flow ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Two Stage ◽  
Flow Reduction ◽  
Blood Flow Reduction ◽  
Stanford Type B

scholarly journals Endovascular graft exclusion for treating Stanford type B acute aortic dissection in aged population

Medicine ◽  
2019 ◽  
Vol 98 (26) ◽  
pp. e16046
Author(s):  
Tongyun Chen ◽  
Nan Jiang ◽  
Feng Zhao ◽  
Dong Xu ◽  
Jinyu Gao ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Aged Population ◽  
Endovascular Graft ◽  
Stanford Type B

scholarly journals Predictors of late aortic events after Stanford type B acute aortic dissection

2014 ◽  
Vol 148 (1) ◽  
pp. 98-104 ◽  
Author(s):  
Tomoaki Kudo ◽  
Akihito Mikamo ◽  
Hiroshi Kurazumi ◽  
Ryo Suzuki ◽  
Noriyasu Morikage ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Stanford Type B

scholarly journals Prognostic Implications of Acute Renal Failure after Surgery for Type A Acute Aortic Dissection

Aorta ◽  
2015 ◽  
Vol 03 (03) ◽  
pp. 91-97 ◽  
Author(s):  
Fabrizio Sansone ◽  
Alessandro Morgante ◽  
Fabrizio Ceresa ◽  
Giovanni Salamone ◽  
Francesco Patanè
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Aortic Dissection ◽  
Odds Ratio ◽  
Acute Aortic Dissection ◽  
Negative Impact ◽  
Circulatory Arrest ◽  
Postoperative Bleeding ◽  
Type A ◽  
Renal Injuries

Background: “Type A” acute aortic dissection (AAAD) is the most challenging among the emergency operations in cardiac surgery. The aim of this study was the evaluation of the role of acute renal failure (ARF) in postoperative survival of patients operated for AAAD. Methods: From February 2010 to April 2012, 37 consecutive patients were operated at our department for AAAD. We studied our population by subdividing the patients within groups according to the presence of ARF requiring continuous veno-venous hemofiltration (CVVH) and according to hypothermic circulatory arrest (HCA) times and degrees. Results: The overall 30-day mortality was 27% (50% group A with ARF, 13% group B no ARF). Acute renal failure requiring CVVH was 37.8%. Multivariate analysis revealed a significant association with 30-day mortality (odds ratio 6.6 and p = 0.020). Preoperative oliguria [urine output less than 30 ml/h (odds ratio 4.7 p = 0.039)], CPB greater than 180 minutes (odds ratio 6.5 p = 0.023) and postoperative bleeding requiring a surgical reopening (odds ratio 12.2 and p = 0.021) were the variables significantly associated with acute kidney injury. Conclusions: The data obtained from our analysis bring out the high incidence of renal injuries after surgery for AAAD, and indicate a negative impact on renal injuries of a preoperative oliguria, longer Cardiopulmonary bypass (CBP)/HCA times, and postoperative bleeding requiring a surgical revision. Our data also suggest a better 30-day survival and better renal outcomes in case of shorter HCA and lesser degree of hypothermia. The option of lesser and shorter hypothermia may be very useful, especially for the elderly patients and octogenarians.

scholarly journals Emergent endovascular stent-graft placement to treat ruptured Stanford type B acute aortic dissection

2004 ◽  
Vol 39 (3) ◽  
pp. 668-671 ◽  
Author(s):  
Saori Kawamura ◽  
Hiroshi Nishimaki ◽  
Zong-Bo Lin ◽  
Masato Machii ◽  
Yoshinori Isobe ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Acute Aortic Dissection ◽  
Endovascular Stent ◽  
Type B ◽  
Endovascular Stent Graft ◽  
Graft Placement ◽  
Stanford Type B

scholarly journals Giant intercostal aneurysm complicated by Stanford type B acute aortic dissection in patients with type 1 neurofibromatosis

2012 ◽  
Vol 7 (1) ◽  
Author(s):  
Takeshi Uzuka ◽  
Toshiro Ito ◽  
Tetsuya Koyanagi ◽  
Toshiyuki Maeda ◽  
Masaki Tabuchi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Type 1 Neurofibromatosis ◽  
Stanford Type B

Re-elevation of d-dimer as a predictor of re-dissection and venous thromboembolism after Stanford type B acute aortic dissection

2010 ◽  
Vol 25 (6) ◽  
pp. 509-514 ◽  
Author(s):  
Yusuke Jo ◽  
Toshihisa Anzai ◽  
Koji Ueno ◽  
Hidehiro Kaneko ◽  
Takashi Kohno ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type B ◽  
Stanford Type B ◽  
D Dimer

scholarly journals Clinical features and prognosis of patients with acute aortic dissection in China

2017 ◽  
Vol 45 (2) ◽  
pp. 823-829 ◽  
Author(s):  
Lujing Zhao ◽  
Yanfen Chai ◽  
Zhigang Li
Keyword(s):  
Pericardial Effusion ◽  
Aortic Dissection ◽  
Clinical Features ◽  
Open Surgery ◽  
Acute Aortic Dissection ◽  
Prognostic Significance ◽  
Type A ◽  
Type B ◽  
Medical University ◽  
Stanford Type B

Objective To evaluate the clinical features, risk factors, and prognostic significance of different Stanford types of acute aortic dissection (AAD). Methods We retrospectively analyzed the clinical data and prognostic predictors in 105 patients with AAD (37 with Stanford type A and 68 with Stanford type B) at Tianjin Medical University General Hospital and Tianjin 4th Central Hospital from January 2014 to November 2015. Results Patients with Marfan syndrome and bicuspid aortic valve constituted 24.3% and 8.1%, respectively, of patients with type A AAD; these proportions were significantly higher than those of patients with type B AAD (7.4% and 0.0%, respectively). The proportion of iatrogenic causes of type A AAD (8.1%) was significantly higher than that of type B AAD (0.0%). Computed tomography angiography showed that the proportion of involvement of the aortic arch and pericardial effusion (86.5% and 18.9%, respectively) in patients with type A AAD were higher than those in patients with type B AAD (23.5% and 5.9%, respectively). Endovascular treatment was performed in a higher proportion of patients with type B than A AAD (70.6% vs. 5.4%, respectively). Conclusion Systolic blood pressure, pericardial effusion, periaortic hematoma, conservative treatment, and open surgery were independent predictors of increased mortality in patients with AAD.

Intra- and post-partum acute aortic dissection (Stanford type B): Report of two cases

2017 ◽  
Vol 43 (10) ◽  
pp. 1629-1633 ◽  
Author(s):  
Mitsuhiro Tsuritani ◽  
Chizuko A. Kamiya ◽  
Masami Sawada ◽  
Chinami Horiuchi ◽  
Naoko Iwanaga ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Post Partum ◽  
Type B ◽  
Stanford Type B
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