By analyzing a cohort of patients with aortic aneurysms who were not undergoing surgery, this study aimed to determine the natural course of an aortic aneurysm. The patients’ ascending aortic aneurysms grew very slowly, and growth over 0.2 cm per year was rarely seen.
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Fate of the Unoperated Ascending Thoracic Aortic Aneurysm: Three-Decade Experience from the Aortic Institute at Yale University
April 13, 2023
Noncommunicating Acute Type A Aortic Dissection in Elderly Patients: Surgery Versus Medical Management
February 23, 2023
As part of this study, patients 75 years and older with acute type A aortic dissection from 2011 to 2020 were reviewed. The surgical outcomes of noncommunicating acute type A dissection in this group were favorable, with no significant difference in maintaining physical function at discharge.
Mid-Term Outcomes of a Hybrid Approach Involving Open Surgery Plus TEVAR of the Descending Aorta in the Treatment of Complex Type A Dissection
January 6, 2023
This study compares the clinical outcomes of two operative strategies for type A aortic dissection with true lumen collapse and malperfusion downstream, which is associated with a devastating prognosis.
November 17, 2022
Pirruccello and associates from Massachusetts General Hospital developed a prediction model for ascending aortic diameter in a cohort of 30,018 asymptomatic individuals based on eleven variables: age (years), gender, body mass index (kg/m2), heart rate (bpm), systolic and diastolic blood pressure (mm Hg), height (cm), weight (kg), and the presence or
2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines
November 3, 2022
On November 2, 2022, the American College of Cardiology (ACC) and American Heart Association (AHA) published an update to the 2010 ACC/AHA Guidelines for the Diagnosis and Management of Aortic Disease. The top ten take-home messages are:
October 6, 2022
In conducting the largest study to date supporting the current medical consensus that recommends surgery only for patients with a thoracic aneurysm that is 5.5 centimeters or larger, the authors found that the overall risk for patients below that standard is low.
Total Aortic Arch Replacement Using a Frozen Elephant Trunk Device: Results of a One-Year US Multicenter Trial
September 9, 2022
The authors of this study reported the safety and one-year clinical outcomes of the Thoraflex Hybrid frozen elephant trunk prosthesis from the US Investigational Device Exemption trial. Follow-up was available in 63 of 65 patients from twelve centers at one-year, when the mortality was 11 percent (7/65), and freedom was 81 percent (51/63) from major
Early Mortality in Type A Acute Aortic Dissection: Insights From the International Registry of Acute Aortic Dissection
September 4, 2022
This is the most recent data on the early mortality of acute type A aortic dissection within the first forty-eight hours from onset. Prior to this study, there was a lack of contemporary data that characterized the positive effects of timely surgery.
July 11, 2022
There could be some translational value for cardiovascular surgical practice from this prospective cardiovascular health study. The mechanistic link warrants further investigation and interpretation.
May 20, 2022
This is a compreshensive review on the experience with use of TEVAR in patients with Marfan syndrome, including durablity, complications, and timing, etc. Drs. Steinmetz and Cosellihe also discussed the role and trend of TEVAR in Marfan paitents with aortic disease.