A succinct analysis of a challenging problem, with a discussion on the 'magic diameter' of 55 mm.
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November 11, 2019
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).
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).