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Stroke in Acute Type A Aortic Dissection: The Nordic Consortium for Acute Type A Aortic Dissection

Thursday, December 10, 2020

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Source Name: European Journal of Cardio-Thoracic Surgery


Raphaelle A Chemtob, Simon Fuglsang, Arnar Geirsson, Anders Ahlsson, Christian Olsson, Jarmo Gunn, Khalil Ahmad, Emma C Hansson, Emily Pan, Linda O Arnadottir, Ari Mennander, Shahab Nozohoor, Anders Wickbom, Igor Zindovic, Aldina Pivodic, Anders Jeppsson, Vibeke Hjortdal, Tomas Gudbjartsson

Chemtob et al. present data from the Nordic Consortium for Acute Type A Aortic Dissection (NORCAAD). They database out of eight hospitals the recorded data of 1,128 patients. This analysis focused on perioperative stroke, which occurred in 15.7% of all patients and was higher in patients with preoperative cerebral malperfusion, impaired hemodynamics, and in patients who underwent arch replacement. However, as many patients with prior cerebral malperfusion did not develop stroke, this should never be judged as contra-indication for surgery.


Avery useful read, a high-risk TAAD group, where two fifths of sufferers that presented with an ongoing acute neurological problem, retained the problem after salvage surgery.

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