A most educative cross-Atlantic retrospective study on an always important question. The short accompanying video is also valuable!
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August 13, 2019
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).
Differential Outcomes of Open and Clamp-On Distal Anastomosis Techniques in Acute Type A Aortic Dissection
June 11, 2019
Food for thought from a retrospective non-randomized study on the Scandinavian experience with acute aortic dissection. The reader may find outcomes that will surpise them.
Short- and Long-Term Outcomes of Aortic Root Repair and Replacement in Patients Undergoing Acute Type A Aortic Dissection Repair: Twenty-Year Experience
May 20, 2019
Discussion and critique editorials accompany this report on extensive emergency surgical treatment of aortic dissection, fueling an important debate.
April 28, 2019
The authors analyzed the STS database for elective aortic root replacement (with several important exclusions) to derive risk factors for mortality and morbidity. A total of 8,807 patients met inclusion criteria.
Comparative Study of the Frozen Elephant Trunk and Classical Elephant Trunk Techniques to Supplement Total Arch Replacement for Acute Type A Aortic Dissection
April 24, 2019
In 148 patients with type A aortic dissection who underwent emergency total arch replacement, 155 had a conventional elephant trunk procedure (CET, age 65 ± 12 years) and 33 had a frozen elephant trunk procedure (FET, 67 ± 11 years). Early mortality was similar in the two groups (8.7% with CET versus 6.1% with FET).
Proximal Aorta Longitudinal Strain Predicts Aortic Root Dilation Rate and Aortic Events in Marfan Syndrome
April 18, 2019
In this study, researchers from Spain have found that the longitudinal strain of the proximal aorta, as detected by cardiac magnetic resonance, is a risk factor for aortic root dilation rate and aortic events (hazard ratio 1.290, 95% confidence interval 1.123 - 1.481, P<0.001) in patients with Marfan syndrome.
Reflection From UK Aortic Group: Frozen Elephant Trunk Technique as Optimal Solution in Type A Acute Aortic Dissection
April 16, 2019
The UK Aortic Group report their experience with the frozen elephant trunk (FET) repair for 66 acute type A aortic dissection (ATAAD) patients using the Thoraflex Hybrid graft at eight UK high-volume aortic centers. The in-hospital mortality was 12% (8/66).