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).
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2021 The American Association for Thoracic Surgery expert consensus document: Surgical treatment of acute type A aortic dissection
September 24, 2021
Determinants of outcomes following surgery for type A acute aortic dissection: the UK National Adult Cardiac Surgical Audit
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
Commentary: Cardioplegia in complex root surgery for adults: Many solutions, but does it really matter?
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.
International Consensus Statement on Nomenclature and Classification of the Congenital Bicuspid Aortic Valve and Its Aortopathy for Clinical, Surgical, Interventional and Research Purposes
July 22, 2021
On July 22, The Annals of Thoracic Surgery published this consensus statement on nomenclature and classification of the congenital bicuspid aortic valve (BAV) and Its aortopathy.
July 12, 2021
In this article, Dr. Sandhu et al. review their 22-year experience in managing patients with thoracic aortic graft infection. They demonstrate that this infection is highly morbid and requires prompt antimicrobial coverage, debridement, graft replacement, and vascularized graft coverage to prevent morbidity and mortality.
July 9, 2021
This registry, involving multiple centers, aims to provide conclusive results reflecting the importance of critical preoperative conditions and different treatment strategies to reduce the risk of early adverse events after surgery for acute TAAD.
July 3, 2021
Based on data of patients with acute aortic dissection in a hospital of Nobeoka City from 2016-2018, Yamaguchi and associates found the incidence of acute aortic dissection was 17.6 per 100,000 (11.3 for type A, 6.2 for type B). This incidence is 4 times higher than reported in the
June 11, 2021
A useful detailed review (or state-of-the-art article) on revascularisation in extracardiac vascular stenoocclusive atheromatosis.
Repair of Saccular Aortic Arch Aneurysm in a Patient With Behcet Disease and Multiple Aortic Aneurysms
June 9, 2021
Repair of arch aneurysm resulting from Behcet disease is shown in this video.
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