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Ann Thorac Surg 2001;71:1249-1250
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a Department of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Lee St, Room 2753, Charlottesville, VA 22908, USA

e-mail: ilk@hscmail.mcc.virginia.edu

Moon and colleagues from Washington University School of Medicine reviewed 119 patients over a 15-year period who underwent surgical repair of acute type A aortic dissection. They asked the very appropriate question whether or not the extent of proximal or distal aortic resection would alter short-term and long-term outcomes. The authors did an excellent job with 98% followup in their patient series. Like any retrospective study, there are obvious difficulties in terms of comparing groups particularly since 18 different surgeons were involved without any of them doing more than 20% of the operation. However, it would be nearly impossible to do a prospective study on this entity since even the busiest centers usually perform less than 15 procedures a year.

For proximal dissections, the authors performed three different operations. These include . . . [Full Text of this Article]

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Does the extent of proximal or distal resection influence outcome for type A dissections?

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Ann. Thorac. Surg. 2001 71: 1244-1249. [Abstract] [Full Text] [PDF]

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