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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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.
Surgery for Anomalous Aortic Origin of Coronary Arteries: A Multicentre Study From the European Congenital Heart Surgeons Association
November 1, 2019
In this multicenter study, the authors report on outcomes in 156 patients who underwent surgery for anomalous aortic origin of the coronary arteries. Unroofing and reimplantation were the most common procedures. There was no perioperative mortality.
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.
October 3, 2019
Diane Barker of University Hospitals of North Midlands in the United Kingdom presents a discussion on genetic testing for those at risk of thoracic aortic disease.
Left Subclavian Artery Revascularization During Frozen Elephant Trunk Procedure for Acute Type A Aortic Dissection Using the Left Internal Mammary Artery
September 24, 2019
In this case, the authors report on a novel technique to revascularize the left subclavian artery during a frozen elephant trunk procedure with concomitant aortic arch debranching.
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).
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