Aortic Dissection After the Hybrid Stage 1 Procedure: Diagnosis and Management Strategy

The diagnosis and management of aortic dissection.

Aortic dissection represents the most common aortic emergency, affecting 3 to 4 per 100,000 people per year and is still associated with a high mortality. Twenty percent of the patients with aortic dissection die before reaching hospital and 30% die during hospital admission. Aortic dissections may be classified in 3 ways: according to their anatomical extent (the Stanford or DeBakey systems), ...

Diagnosis and management of aortic dissection.

Aortic dissection is a rare but potentially fatal event resulting in separation of the layers of the tunica media by ingress of blood, producing a false lumen with variable proximal and distal extension. Ascending aortic dissection is the most common catastrophe of the aorta; it is 2–3 times more common than rupture of the abdominal aorta. Mortality of untreated acute dissection involving the a...

Hybrid Strategy for Residual Arch and Thoracic Aortic Dissection following Acute Type A Aortic Dissection Repair

Progressive dilatation of the false lumen in the arch and descending aorta has been encountered in one-third of survivors as a late sequelae following repair of ascending aortic dissection. Conventional treatment for the same requiring cardiopulmonary bypass and deep hypothermic circulatory arrest is associated with high morbidity and mortality especially in the elderly cohort of patients. Here...

management of aortic dissection

Management of Aortic Dissection

Dear Editor, Totonchi et al.’s study (1) explores the account of a 45year old male patient who was using digoxin and warfarin and had undergone an antecedent valve replacement due to aortic insufficiency approximately 35 years before. It is particularly noteworthy that a femorofemoral bypass was performed prior to the Bentall surgery and that no sedative, muscle relaxant, or endotracheal intuba...