scholarly journals Endovascular Repair Prior to Total Aortic Arch Replacement for Stanford A Acute Aortic Dissection with Abdominal Organ Ischemia

2019 ◽  
Vol 48 (2) ◽  
pp. 138-141
Author(s):  
Yoshiki Endo ◽  
Yoshihito Irie ◽  
Tsuyoshi Fujimiya ◽  
Akinobu Kitagawa
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Endovascular Repair ◽  
Acute Aortic Dissection ◽  
Abdominal Organ ◽  
Aortic Arch Replacement ◽  
Total Aortic Arch Replacement

scholarly journals Stroke in acute type A aortic dissection: the Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD)

2020 ◽  
Vol 58 (5) ◽  
pp. 1027-1034 ◽  
Author(s):  
Raphaelle A Chemtob ◽  
Simon Fuglsang ◽  
Arnar Geirsson ◽  
Anders Ahlsson ◽  
Christian Olsson ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Type A ◽  
Pericardial Tamponade ◽  
Acute Type ◽  
Aortic Arch Replacement ◽  
Type A Aortic Dissection ◽  
Total Aortic Arch Replacement ◽  
Cerebral Malperfusion ◽  
Mortality Hazard Ratio

Abstract OBJECTIVES Stroke is a serious complication in patients with acute type A aortic dissection (ATAAD). Previous studies investigating stroke in ATAAD patients have been limited by small cohorts and have shown diverging results. We sought to identify risk factors for stroke and to evaluate the effect of stroke on outcomes in surgical ATAAD patients. METHODS The Nordic Consortium for Acute Type A Aortic Dissection database included patients operated for ATAAD at 8 Scandinavian Hospitals between 2005 and 2014. RESULTS Stroke occurred in 177 (15.7%) out of 1128 patients. Patients with stroke presented more frequently with cerebral malperfusion (20.6% vs 6.3%, P < 0.001), syncope (30.6% vs 17.6%, P < 0.001), cardiogenic shock (33.1% vs 20.7%, P < 0.001) and pericardial tamponade (25.9% vs 14.7%, P < 0.001) and more often underwent total aortic arch replacement (10.7% vs 4.7%, P = 0.016), compared to patients without stroke. In the 86 patients presenting with cerebral malperfusion, 38.4% developed stroke. Thirty-day and 5-year mortality in patients with and without stroke were 27.1% vs 13.6% and 42.9% vs 25.6%, respectively. Stroke was an independent predictor of early- [odds ratio 2.02, 95% confidence interval (CI) 1.34–3.05; P < 0.001] and midterm mortality (hazard ratio 1.68, 95% CI 1.27–2.23; P < 0.001). CONCLUSIONS Stroke in ATAAD patients is associated with increased early- and midterm mortality. Preoperative cerebral malperfusion and impaired haemodynamics, as well as total aortic arch replacement, were more frequent among patients who developed stroke. Importantly, a large proportion of patients presenting with cerebral malperfusion did not develop a permanent stroke, indicating that signs of cerebral malperfusion should not be considered a contraindication for surgery.

Aortic root remodelling with aortic annuloplasty and aortic arch replacement one year after surgical treatment of acute aortic dissection

2017 ◽  
pp. 1213-1213
Author(s):  
Szymon M. Kocańda ◽  
Jakub Zieliński ◽  
Edyta Kaczmarska-Dyrda ◽  
Ilona Michałowska ◽  
Mariusz Kuśmierczyk
Keyword(s):  
Surgical Treatment ◽  
Aortic Dissection ◽  
Aortic Arch ◽  
Aortic Root ◽  
Acute Aortic Dissection ◽  
Aortic Arch Replacement ◽  
One Year

Aortic arch replacement in acute aortic dissection

2002 ◽  
Vol 123 (3) ◽  
pp. 0586-0587
Author(s):  
M[uuml ]nacettin Ceviz ◽  
Yahya [Uuml ]nl[uuml ] ◽  
Necip Bect
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Acute Aortic Dissection ◽  
Aortic Arch Replacement
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