Immediate Surgery in Acute Type A Dissection and Neurologic Dysfunction: Fighting the Inevitable?

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Survival, Neurologic Injury, and Kidney Function after Surgery for Acute Type A Aortic Dissection.

BACKGROUND To analyze survival, neurologic injury, and kidney function after acute type A aortic dissection. METHODS A total of 445 patients undergoing surgery for acute type A aortic dissection were analyzed. Evaluation according to risk factors for mortality, neurologic injury, and kidney function was performed. RESULTS Overall 1-, 5-, and 10-year survival rates were 82.8 ± 1.8%, 73.6 ± 2...

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Acute Type A Dissection and Acute Inferior MI Complicating Aortic Coarctation: A Case Report

Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation. A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His ele...

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The cannulation strategy in surgery for acute type A dissection

The rates of mortality and morbidity remain high in surgery for acute type A dissection. There is controversy regarding the best cannulation strategy for achieving good clinical results. Each cannulation technique has different anatomical characteristics and a different flow pattern inside the aorta during cardiopulmonary bypass. Some adverse, clinically important outcomes may be related to eve...

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Surgery for Aortic Disease Neurological Outcomes After Immediate Aortic Repair for Acute Type A Aortic Dissection Complicated by Coma

Background—Management of acute type A aortic dissection (AADA) complicated by coma remains controversial. We analyzed our experience in managing AADA complicated by coma to determine the relationship of duration of preoperative coma to postoperative neurological recovery. Methods and Results—Between September 2003 and October 2010, 181 patients with AADA were treated, including 27 presenting wi...

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ژورنال

عنوان ژورنال: The Annals of Thoracic Surgery

سال: 2020

ISSN: 0003-4975

DOI: 10.1016/j.athoracsur.2020.01.026