| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 46, 420-424, Copyright © 1988 by The Society of Thoracic Surgeons
CG Massimo, LF Presenti, P Marranci, PP Favi, AG Poma, M Ponzalli and RG Viligiardi
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.
ARTICLES
Extended and total aortic resection in the surgical treatment of acute type A aortic dissection: experience with 54 patients
Department of Surgery, Ospedale di Careggi-Firenze, Florence, Italy.
This article has been cited by other articles:
|
|
 |
|
  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(90101): II-300 - 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 - 1839. [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 - 1847. [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 (2009): 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] [Full Text]
|
|
|
|
 |
|
 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(suppl_1): S44 - S49. [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 |
