ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Francis Robicsek
Mano J. Thubrikar
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Robicsek, F.
Right arrow Articles by Thubrikar, M. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Robicsek, F.
Right arrow Articles by Thubrikar, M. J.

Ann Thorac Surg 1994;58:1247-1253
© 1994 The Society of Thoracic Surgeons

Articles

Hemodynamic considerations regarding the mechanism and prevention of aortic dissection

Francis Robicsek, MD*, Mano J. Thubrikar, PhD

Carolinas Heart Institute and Heineman Medical Research Laboratory, Carolinas Medical Center, Charlotte, North Carolina, USA

* Address reprint requests to Dr Robicsek, 1001 Blythe Blvd, Suite 300, Charlotte, NC 28203.

We describe the hemodynamic principles that we postulate are responsible for the development of aortic dissection. Two types are differentiated: the "hypertensive" and the "Marfan" types. The former is characterized by moderate aortic dilatation and considerable blood pressure elevation, the latter by considerable aortic dilatation only. The role of wall stress in the development of the intimal tear and the propagation of the process of dissection are discussed. We recommend that patients who are at high risk for developing aortic dissection—those with Marfan's syndrome and dilated aortas—should undergo aortoplasty and wall reinforcement as a simple, safe, and effective way to prevent aortic dissection.




This article has been cited by other articles:


Home page
 J Am Coll CardiolHome page
R. S. Bonser, A. M. Ranasinghe, M. Loubani, J. D. Evans, N. M. A. Thalji, J. E. Bachet, T. P. Carrel, M. Czerny, R. Di Bartolomeo, M. Grabenwoger, et al.
Evidence, Lack of Evidence, Controversy, and Debate in the Provision and Performance of the Surgery of Acute Type A Aortic Dissection
J. Am. Coll. Cardiol., December 6, 2011; 58(24): 2455 - 2474.
[Abstract] [Full Text] [PDF]

Home page
 Interact CardioVasc Thorac SurgHome page
J. Pepper, T. Golesworthy, M. Utley, J. Chan, S. Ganeshalingam, M. Lamperth, R. Mohiaddin, and T. Treasure
Manufacturing and placing a bespoke support for the Marfan aortic root: description of the method and technical results and status at one year for the first ten patients
Interact CardioVasc Thorac Surg, March 1, 2010; 10(3): 360 - 365.
[Abstract] [Full Text] [PDF]

Home page
 Interact CardioVasc Thorac SurgHome page
S. Nazari
eComment: Internal versus external aortic support
Interact CardioVasc Thorac Surg, March 1, 2010; 10(3): 365 - 365.
[Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
L. M. Parish, J. H. Gorman III, S. Kahn, T. Plappert, M. G. St. John-Sutton, J. E. Bavaria, and R. C. Gorman
Aortic size in acute type A dissection: implications for preventive ascending aortic replacement
Eur J Cardiothorac Surg, June 1, 2009; 35(6): 941 - 946.
[Abstract] [Full Text] [PDF]

Home page
 European Journal of Cardiovascular Prevention & RehabilitationHome page
S. Corone, M.-C. Iliou, B. Pierre, J.-M. Feige, D. Odjinkem, T. Farrokhi, F. Bechraoui, S. Hardy, P. Meurin, and Cardiac Rehabilitation working Group of the French
French registry of cases of type I acute aortic dissection admitted to a cardiac rehabilitation center after surgery
European Journal of Cardiovascular Prevention & Rehabilitation, February 1, 2009; 16(1): 91 - 95.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
L. A. Pape, T. T. Tsai, E. M. Isselbacher, J. K. Oh, P. T. O'Gara, A. Evangelista, R. Fattori, G. Meinhardt, S. Trimarchi, E. Bossone, et al.
Aortic Diameter >=5.5 cm Is Not a Good Predictor of Type A Aortic Dissection: Observations From the International Registry of Acute Aortic Dissection (IRAD)
Circulation, September 4, 2007; 116(10): 1120 - 1127.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
E. Neri, L. Barabesi, D. Buklas, L. A. Vricella, A. Benvenuti, E. Tucci, C. Sassi, and M. Massetti
Limited role of aortic size in the genesis of acute type A aortic dissection
Eur J Cardiothorac Surg, December 1, 2005; 28(6): 857 - 863.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
O. Stanger, P. Oberwalder, D. Dacar, I. Knez, and B. Rigler
Late dissection of the ascending aorta after previous cardiac surgery: risk, presentation and outcome
Eur J Cardiothorac Surg, March 1, 2002; 21(3): 453 - 458.
[Abstract] [Full Text] [PDF]

Home page
 HeartHome page
R S Bonser, D Pagano, M E Lewis, S J Rooney, P Guest, P Davies, and I Shimada
Clinical and patho-anatomical factors affecting expansion of thoracic aortic aneurysms
Heart, September 1, 2000; 84(3): 277 - 283.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Westaby
Aortic dissection in Marfan's syndrome
Ann. Thorac. Surg., June 1, 1999; 67(6): 1861 - 1863.
[Abstract] [Full Text] [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
Copyright © 1994 by The Society of Thoracic Surgeons.