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In DeBakey Type I Aortic Dissection, Bovine Aortic Arch Is Associated With Arch Tears and Stroke

Thursday, August 17, 2017

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Source Name: Annals of Thoracic Surgery


Julia Dumfarth, MD, PhD, Sven Peterss, MD, Markus Kofler, MD, Michaela Plaikner, MD, Bulat A. Ziganshin, MD, Thomas Schachner, MD, Maryann Tranquilli, RN, Michael Grimm, MD, John A. Elefteriades, MD

The Yale group retrospectively reviewed their experience with DeBakey type I aortic dissections to evaluate whether patients with bovine aortic arches had a unique distribution of entry sites and differential outcomes.  A total of 315 patients were included in the study, of which 49 (16%) had a bovine aortic arch.  The authors found that those patients with bovine aortic arches were 6 times more likely to have arch tears and 2.7 times more likely to suffer a stroke as those without bovine aortic arches. 

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