A brief focused commentary on a recent medium size Japanese series of succesful surgery for Acute Aortic Syndrome. The limitations of the series presented in well- written Uchida manuscript( and already to the last AATS Meeting) are being explored, and the commentators' allusion to the need for randomised trial is evident.
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Thoracic Aorta
October 22, 2021
October 8, 2021
Objective: The aim of the study was to determine cause-specific mortality in TBAD and to evaluate the clinical characteristics associated with aorta-related and non aorta-related mortality.
September 27, 2021
A small meta-analysis suggesting a bemefit of vascular ultrasound for access to the groin vessels in TAVI. The utility of ultrasonography may be extended in access for groin cannulation in aortovascular surgery and ECMO
September 24, 2021
A comprehensive update on the evidence on the management of acute aortic syndromes, including IMH. Of particular interest is the robust recommendation to bypass non-dedicated aortic centers even to the expense of increased transit time in order to offer management in a Comprehensive Aortic Center (CAC).
September 14, 2021
Based on data of 4203 patients with acute type A dissection in the UK National Adult Cardiac Surgical Audit, Benedetto and associates have identified the following risk factors for operative mortality: age (odds ratio, OR, 1.02), malperfusion (OR 1.79), left ventricular ejection fraction (moderate: OR 1.40; poor: OR 2.83), prior cardiac surgery (OR 2
September 13, 2021
A brief but dense editorial included in a compedium on cardioplegia.
The last sentence summarises what many colleagues would think on the matter of single-shot plegia for root surgery.
September 12, 2021
The Yale database of 1162 patients with ascending aortic aneurysms was queried. Analysis suggested root dilatation was more significant in predicting adverse events than mid -ascending aortic dilatation, with short stature as a serious risk factor. Hinge points at 5.0 and 5.25 cm respectively were identified. The authors suggest these paramenters
June 4, 2021
A good discussion on the concepts of:
1. aortic true lumen and false lumen behavior after repair of acute Type A aortic dissection2. distal anastomotic new entry tear after hemiarch repair3. impact of above on clinical outcomes4. strategies on preventing distal anastomotic entry tear
May 11, 2021
The updated version of an expert viewpoint on resources for management of acute aortic syndrome in the United States is presented. The esteemed authors advance the position of positive volume–outcome relationship for surgery for acute De Bakey I and II (ATAAD).
May 2, 2021
The AATS expert consensus document was recently released and focused on surgical treatment of acute type A aortic dissection.