This study used data from the International Registry of Acute Aortic Dissection to explore the rates and outcomes of root replacement vs more conservative management in patients with acute type A dissections. Root replacement patients were younger, had greater root diameter, were more often affected by Marfans, had a higher incidence of AI, and were
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Root Replacement Surgery Versus More Conservative Management During Type A Acute Aortic Dissection Repair
December 3, 2014
November 29, 2014
Randomized multicenter trial comparing losartan versus atenolol in young patients with Marfan's syndrome with no significant difference in aortic root dilation between groups.
November 26, 2014
Goldberg and colleagues provide an excellent review on a complex topic: intramural hematomas.
November 17, 2014
This video illustrates the technique used to repair an aortic dissection with a tear involving the aortic root contiguous with the right coronary artery (RCA). In addition to the dissection repair, an aortic root replacement and a jump graft to the RCA are performed.
November 12, 2014
This video presents the case of a 52-year-old man who was found to have a leaking bicuspid aortic valve and a 5.2 cm aneurysm extending from the aortic root to the proximal arch.
October 9, 2014
This is an amazing Ted.com video on Tal Golesworthy who designed his own aortic root
October 9, 2014
The authors compare 3 groups of patients undergoing aortic root replacement for ascending aorta aneurysm: valve-sparing root replacement (VSRR, n = 178), Bentall procedure with biological conduit (n = 91) or mechanical conduit (n = 101). Patients with VSRR had the best 5-year survival and low incidence of bleeding complications.
September 24, 2014
This video commences with a brief presentation on the management of Type A aortic dissections and proceeds into an operative video showing the steps used when operating on these cases.
September 16, 2014
This retrospective review summarizes a single institution experience with thoracic aortic endovascular stenting in 420 pts over 20 years. Indications were aneurysm (238), dissection (100) and trauma (39). 78% of pts were deemed to be at high risk for open repair. Mortality was 4.8%, stroke incidence was 5%, and cord ischemia was temporary in 7.9%
August 28, 2014
This video contains a brief case presentation and a step-by-step guide for tackling the problem of aortic root endocarditis.