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).
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Descending Thoracic Aorta
Surgery for Type A Aortic Dissection in Patients with Cerebral Malperfusion: Results From the International Registry of Acute Aortic Dissections
November 15, 2019
November 11, 2019
A succinct analysis of a challenging problem, with a discussion on the 'magic diameter' of 55 mm.
Aortic Remodeling After Hybrid Provisional Extension to Induce Complete Attachment Aortic Repair of Chronic Residual Type I Aortic Dissection
November 7, 2019
Interesting retrospective imaging study of true and false lumens with or without bare metal stents placed distally in the abdominal aorta.
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!
Aortic Endovascular Stenting in Patients With Systemic Connective Tissue Disorders: Does the Prohibitive Dogma Still Stand Tall?
August 3, 2019
In this brief review, the authors elaborate on status quo of the use of endovascular stent grafts in the management of patients with connective tissue disorders. Because the radial force and circumferential stress on the native aorta remains a signficant issue that leads to stent graft failure, open surgical repair remains the gold standard in most o
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).
June 16, 2019
Thoracoabdominal aortic aneurysm (TAAA) repair began in Houston, Texas, with pioneer surgeons such as Drs Michael E. DeBakey, Denton A. Cooley, and E. Stanley Crawford. Their early attempts to repair TAAA were complicated by risk of renal and spinal cord ischemia and difficulty in reattaching the branching vessels of the thoracoabdominal aorta.
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.