In this consensus statement, a new anatomic classfication system is proposed for thoracic aortic dissections. The acuity of aortic dissection and complicated vs uncomplicated dissections are clearly defined. Risk factors, presentations, management, and complications are expounded. Follow-up criteria are also discussed with nomenclature for false l
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Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections
January 29, 2020
Genes Associated With Thoracic Aortic Aneurysm and Dissection: 2019 Update and Clinical Implications
December 31, 2019
This is an updated list of genes associated with thoracic aortic aneurysm and dissection. Dr Elefteriades and associates published the first version in 2017 and made an update in 2018. During the last year, six new genes were reported to be associated with thoracic aortic aneurysm and dissection.
Patient Trends and Outcomes of Surgery for Type A Acute Aortic Dissection in Japan: An Analysis of More Than 10,000 Patients From the Japan Cardiovascular Surgery Database
December 8, 2019
Abe and associates reported the trends in the early outcomes of surgical repair for acute type A aortic dissection in 11,843 patients from the Japan Cardiovascular Surgery Database between 2008 and 2015. Operative mortality was 9.5% and 30-day mortality was 7.6%. The number of surgically treated cases increased by 45% during the interval.
Surgery for Type A Aortic Dissection in Patients with Cerebral Malperfusion: Results From the International Registry of Acute Aortic Dissections
November 15, 2019
The International Registry of Acute Aortic Dissection investigators analyzed the impact of cerebral malperfusion (CM) on the surgical outcomes of acute type A dissection in 2402 patients. The incidence of CM and neurologic deficit was 15.1% (362/2402).
November 11, 2019
A succinct analysis of a challenging problem, with a discussion on the 'magic diameter' of 55 mm.
Neurologic Complications After the Frozen Elephant Trunk Procedure: A Meta-Analysis of More Than 3,000 Patients
October 31, 2019
Dr Preventza and associates performed a meta-analysis of 3,154 patients who underwent frozen elephant trunk procedure to determine the incidence of neurologic complications. The incidences were 4.7% for spinal cord injury and 7.6% for stroke.
August 13, 2019
A most educative cross-Atlantic retrospective study on an always important question. The short accompanying video is also valuable!
August 11, 2019
Colleagues from Italy and Germany compared the short- and mid-term outcomes of the straight tube graft (David-I) and the Valsalva graft in 232 patients undergoing an isolated David procedure. The two groups did not differ significantly in 30-day mortality (1% vs 2%), late survival (p = 0.799), or valve-related reoperation (p = 0.241).
July 12, 2019
Investigators reported the distribution of thoracic aortic growth in smokers based on longitudinal data of current and ex-smokers aged 50-70 years from the Danish Lung Cancer Screening Trial.
Factors Associated With Acute Stroke After Type A Aortic Dissection Repair: An Analysis of the Society of Thoracic Surgeons National Adult Cardiac Surgery Database
June 24, 2019
Colleagues from five heart centers performed a study on the incidence and factors associated with acute stroke following type A repair using the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS ACSD).