This joint consensus document aims to facilitate triage and management of patients with aortic dissection, rupture, and malperfusion syndromes during the COVID-19 pandemic. The following issues have been addressed in the care of COVID-19–positive or status unknown patients with aortic emergencies:
1. Management and triage
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Aorta
October 18, 2020
In this article in the Journal of Thoracic and Cardiovascular Surgery, Drs Norton et al performed a single institution retrospective analysis of outcomes of 182 patients with acute type B aortic dissection who underwent fenestration/stenting for suspected malperfusion.
October 18, 2020
In this article, Drs Malaisrie and Mehta discuss updates on the indications for TEVAR in type B aortic dissection with comparison of the guidelines from The Society of Thoracic Surgeons, Society of Vascular Surgery, American Heart Association, American College of Cardiology, the European Society of Cardiology, and the Japanese Circulation Society.
September 30, 2020
Dr David and colleagues reported the long-term outcomes of aortic valve reimplantation in 465 patients between 1989 and 2018. Clinical and echocardiographic follow-up was available in 98% for a mean duration of 10 ± 6 years.
September 12, 2020
In this article, the authors review the literature highlighting factors that increase a patient's risk in acute Type A aortic dissection repair and provides suggestions for risk stratification to guide timing of surgery in select patients.
September 1, 2020
This is a comprehensive review on iatrogenic aortic dissection occurring intraoperatively,and within one month after cardiac surgery, covering the incidence, discovery, pathology, detection modalities, management, risk factors, and prevention of this rare but life-threatening complication.
August 20, 2020
This succinct article reviews the contemporary literature regarding sex differences in thoracic aortic disease including the epidemiology, biology, natural history, surgical management and outcomes.
July 31, 2020
Aneurysmal ascending aortas were collected from elective aortic surgery, and normal aortas from transplant donors, and dissected aortas from surgery for aortic dissection. These aortas underwent delamination testing in simulation of aortic dissection.
June 22, 2020
Over the years, frozen elephant trunk (FET) has become the treatment of choice for multisegmental thoracic aortic disease.
February 20, 2020
The authors revisit the older, somewhat misinterpreted hypothesis of cocoa and vasodilation. The title may again be misinterpreted by the general media as an encouragement to gorge on HIGH CALORIE, HIGH FAT nutrients