| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1988;46:420-424
© 1988 The Society of Thoracic Surgeons
Department of Surgery, Ospedale di Careggi-Firenze, Florence, Italy
Accepted for publication April 28, 1988.
* Address reprint requests to Dr. Massimo, Via A. Mari, 14, 50014 Fiesole-Firenze, Italy
Fifty-four patients with acute type A aortic dissection were surgically treated with extended aortic resection. The age of the patients ranged from 22 to 75 years, and all of them were in very critical condition. In 50 patients, the resection extended from the aortic valve (included in 33) to the beginning of the descending thoracic aorta and in 4, from the valve (included in 3) to the aortic bifurcation. Deep hypothermia and circulatory arrest were employed during the aortic arch resection; inclusion of the graft at the end of procedure was done in 44 patients; in the others, the diseased aortic wall was excised. Early mortality was 20 ± 6% (11/54). Nine deaths were due to persistence of the distal dissection. Acute type A aortic dissection with aortic valve insufficiency should be treated as an emergency with extended aortic resection. As far as control of bleeding and closure of distal dissection are concerned, the best results have been achieved when the diseased aortic wall has been completely excised.
This article has been cited by other articles:
|
|
 |
|
  G. Concistre, G. Casali, E. Santaniello, A. Montalto, B. Fiorani, A. Dell'Aquila, and F. Musumeci Reoperation After Surgical Correction of Acute Type A Aortic Dissection: Risk Factor Analysis Ann. Thorac. Surg., February 1, 2012; 93(2): 450 - 455. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 X. Chen, F. Huang, M. Xu, L. Wang, Y. Jiang, L. Xiao, X. Chen, and Z. Qiu The stented elephant trunk procedure combined total arch replacement for Debakey I aortic dissection: operative result and follow-up Interact CardioVasc Thorac Surg, November 1, 2010; 11(5): 594 - 598. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L.-W. Chen, X.-F. Dai, L. Lu, G.-C. Zhang, and H. Cao Extensive Primary Repair of the Thoracic Aorta in Acute Type A Aortic Dissection by Means of Ascending Aorta Replacement Combined With Open Placement of Triple-Branched Stent Graft: Early Results Circulation, October 5, 2010; 122(14): 1373 - 1378. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L.-Z. Sun, R.-D. Qi, Q. Chang, J.-M. Zhu, Y.-M. Liu, C.-T. Yu, B. Lv, J. Zheng, L.-X. Tian, and J.-G. Lu Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: Experience with 107 patients J. Thorac. Cardiovasc. Surg., December 1, 2009; 138(6): 1358 - 1362. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. E. S. H. Tan, K. M. E. Dossche, W. J. Morshuis, J. C. Kelder, F. G. J. Waanders, and M. A.A.M. Schepens Is extended arch replacement for acute Type A aortic dissection an additional risk factor for mortality? Ann. Thorac. Surg., October 1, 2003; 76(4): 1209 - 1214. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Kaji, T. Akasaka, M. Katayama, A. Yamamuro, K. Yamabe, K. Tamita, M. Akiyama, N. Watanabe, K. Tanemoto, S. Morioka, et al. Prognosis of Retrograde Dissection From the Descending to the Ascending Aorta Circulation, September 9, 2003; 108(2011): II-300 - II-306. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Di Eusanio, M. E. S.H. Tan, M. A.A.M. Schepens, K. M. Dossche, R. Di Bartolomeo, A. Pierangeli, and W. J. Morshuis Surgery for acute type A dissection using antegrade selective cerebral perfusion: experience with 122 patients Ann. Thorac. Surg., February 1, 2003; 75(2): 514 - 519. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Hanafusa, H. Ogino, H. Sasaki, K. Minatoya, M. Ando, Y. Okita, and S. Kitamura Total arch replacement with elephant trunk procedure for retrograde dissection Ann. Thorac. Surg., November 1, 2002; 74(5): S1836 - S1839. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, K. Yamashita, N. Washiyama, H. Terada, A. H. M. Bashar, T. Suzuki, and K. Ohkura Impact of an aggressive surgical approach on surgical outcome in type A aortic dissection Ann. Thorac. Surg., November 1, 2002; 74(5): S1844 - S1847. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kato, T. Kuratani, M. Kaneko, S. Kyo, and K. Ohnishi The results of total arch graft implantation with open stent-graft placement for type A aortic dissection J. Thorac. Cardiovasc. Surg., September 1, 2002; 124(3): 531 - 540. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, N. Washiyama, A. H. M. Bashar, H. Terada, T. Suzuki, K. Ohkura, and K. Yamashita Surgical outcome of acute type A aortic dissection: analysis of risk factors Ann. Thorac. Surg., July 1, 2002; 74(1): 75 - 81. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Takahara, Y. Sudo, K. Mogi, M. Nakayama, and M. Sakurai Total aortic arch grafting for acute type A dissection: analysis of residual false lumen Ann. Thorac. Surg., February 1, 2002; 73(2): 450 - 454. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kirsch, C. Soustelle, R. Houel, M. L. Hillion, and D. Loisance Risk factor analysis for proximal and distal reoperations after surgery for acute type A aortic dissection J. Thorac. Cardiovasc. Surg., February 1, 2002; 123(2): 318 - 325. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. P. Graeter, F. Langer, N. Nikoloudakis, D. Aicher, and H.-J. Schafers Valve-preserving operation in acute aortic dissection type A Ann. Thorac. Surg., November 1, 2000; 70(5): 1460 - 1465. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Hirotani, T. Kameda, T. Kumamoto, and S. Shirota Results of a total aortic arch replacement for an acute aortic arch dissection J. Thorac. Cardiovasc. Surg., October 1, 2000; 120(4): 686 - 691. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, N. Washiyama, B. A. H. Muhammad, H. Terada, K. Yamashita, M. Takinami, and Y. Tamiya EXTENDED TOTAL ARCH REPLACEMENT FOR ACUTE TYPE A AORTIC DISSECTION: EXPERIENCE WITH SEVENTY PATIENTS J. Thorac. Cardiovasc. Surg., March 1, 2000; 119(3): 558 - 565. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Inoue, H. Hosokawa, T. Iwase, M. Sato, Y. Yoshida, K. Ueno, A. Tsubokawa, T. Tanaka, S. Tamaki, and T. Suzuki Aortic Arch Reconstruction by Transluminally Placed Endovascular Branched Stent Graft Circulation, November 9, 1999; 100(90002): II-316 - II-321. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. T. Kouchoukos and C. K. Rokkas Arch-first technique through left antero-axillary thoracotomy or bilateral anterior thoracotomy J. Thorac. Cardiovasc. Surg., July 1, 1999; 118(1): 208 - 209. [Full Text]
|
|
|
|
|
|
T. Konishi, K. Higuchi, M. Fukata, M. Takeda, S. Akisima, and S. Fukuda Extended aortic replacement in acute dissection by the separated elephant trunk technique Ann. Thorac. Surg., June 1, 1999; 67(6): 1664 - 1668. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Pessotto, F. Santini, P. Pugliese, G. Montalbano, G. B. Luciani, G. Faggian, P. Bertolini, and A. Mazzucco Preservation of the aortic valve in acute type A dissection complicated by aortic regurgitation Ann. Thorac. Surg., June 1, 1999; 67(6): 2010 - 2013. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Rokkas and N. T. Kouchoukos SINGLE-STAGE EXTENSIVE REPLACEMENT OF THE THORACIC AORTA: THE ARCH-FIRST TECHNIQUE J. Thorac. Cardiovasc. Surg., January 1, 1999; 117(1): 99 - 105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. J. Safi, C. C. Miller III, M. J. Reardon, D. C. Iliopoulos, G. V. Letsou, R. Espada, and J. C. Baldwin Operation for acute and chronic aortic dissection: recent outcome with regard to neurologic deficit and early death Ann. Thorac. Surg., August 1, 1998; 66(2): 402 - 411. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Kazui, Y. Tamiya, T. Tanaka, and S. Komatsu EXTENDED AORTIC REPLACEMENT FOR ACUTE TYPE A DISSECTION WITH THE TEAR IN THE DESCENDING AORTA J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 973 - 978. [Abstract] [Full Text]
|
|
|
|
|
|
M. Kitamura, A. Hashimoto, T. Akimoto, O. Tagusari, S. Aomi, and H. Koyanagi Operation for type A aortic dissection: introduction of retrograde cerebral perfusion Ann. Thorac. Surg., May 1, 1995; 59(5): 1195 - 1199. [Abstract] [PDF]
|
|
|
|
|
|
T. Kazui, N. Kimura, O. Yamada, and S. Komatsu Total arch graft replacement in patients with acute type a aortic dissection Ann. Thorac. Surg., November 1, 1994; 58(5): 1462 - 1468. [Abstract] [PDF]
|
|
|
|
|
|
M. A. Ergin, R. A. Phillips, J. D. Galla, S. L. Lansman, D. S. Mendelson, C. S. Quintana, and R. B. Griepp Significance of distal false lumen after type A dissection repair Ann. Thorac. Surg., April 1, 1994; 57(4): 820 - 825. [Abstract] [PDF]
|
|
|
|
|
|
C. Minale, F. H. Splittgerber, and H.-J. Reifschneider Replacement of the entire thoracic aorta in a single stage Ann. Thorac. Surg., April 1, 1994; 57(4): 850 - 855. [Abstract] [PDF]
|
|
|
|
|
|
T. Kazui, N. Kimura, O. Yamada, and S. Komatsu Surgical outcome of aortic arch aneurysms using selective cerebral perfusion Ann. Thorac. Surg., April 1, 1994; 57(4): 904 - 911. [Abstract] [PDF]
|
|
|
|
|
|
M. Ando, N. Nakajima, S. Adachi, M. Nakaya, and Y. Kawashima Simultaneous graft replacement of the ascending aorta and total aortic arch for type A aortic dissection Ann. Thorac. Surg., March 1, 1994; 57(3): 669 - 676. [Abstract] [PDF]
|
|
|
|
|
|
J. P. Mazzucotelli, P. H. Deleuze, C. Baufreton, A. M. Duval, M. L. Hillion, D. Y. Loisance, and J. P. Cachera Preservation of the aortic valve in acute aortic dissection: Long-term echocardiographic assessment and clinical outcome Ann. Thorac. Surg., June 1, 1993; 55(6): 1513 - 1517. [Abstract] [PDF]
|
|
|
|
|
|
K. Tabayashi, K. Niibori, A. Iguchi, Y. Shoji, M. Ohmi, and H. Mohri Replacement of the transverse aortic arch for type a acute aortic dissection Ann. Thorac. Surg., April 1, 1993; 55(4): 864 - 867. [Abstract] [PDF]
|
|
|
|
|
|
S. Westaby Hypothermic thoracic and thoracoabdominal aneurysm operation: A central cannulation technique Ann. Thorac. Surg., August 1, 1992; 54(2): 253 - 258. [Abstract] [PDF]
|
|
|
|
|
|
T. Kazui, N. Inoue, O. Yamada, and S. Komatsu Selective cerebral perfusion during operation for aneurysms of the aortic arch: A reassessment Ann. Thorac. Surg., January 1, 1992; 53(1): 109 - 114. [Abstract] [PDF]
|
|
|
|
 |
|
 S. Westaby, A. Parry, and R. Pillai Aortic root replacement: modifications of technique with improvements in technology Eur J Cardiothorac Surg, January 1, 1992; 6(Supplement_1): S44 - S49. [Abstract] [PDF]
|
|
|
|
|
|
C. S. Roberts and W. C. Roberts Aortic dissection with the entrance tear in transverse aorta: Analysis of 12 autopsy patients Ann. Thorac. Surg., November 1, 1990; 50(5): 762 - 766. [Abstract] [PDF]
|
|
|
|
|
|
C. G. Massimo, L. F. Presenti, P. P. Favi, M. Ponzalli, P. Marranci, C. Crisci, A. G. Poma, R. G. Viligiardi, G. Manca, and C. Zocchi Excision of the aortic wall in the surgical treatment of acute type-A aortic dissection Ann. Thorac. Surg., August 1, 1990; 50(2): 274 - 276. [Abstract] [PDF]
|
|
|
|
|
|
M. Heinemann, J. Laas, M. Karck, and H. G. Borst Thoracic aortic aneurysms after acute type a aortic dissection: Necessity for follow-up Ann. Thorac. Surg., April 1, 1990; 49(4): 580 - 584. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
