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Ann Thorac Surg 2008;86:101-102. doi:10.1016/j.athoracsur.2008.04.113
© 2008 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Wilson Y. Szeto, MD

Department of Surgery, Division of Cardiovascular Surgery, Hospital of The University of Pennsylvania, 3400 Spruce St, 6th Floor, Silverstein, Philadelphia, PA 19104

(Email: szetow@uphs.upenn.edu).

The first 20% of the full text of this article appears below.

Advances in the surgical management of acute aortic dissection involving the ascending aorta have resulted in significant improvement in morbidity and mortality. However, conventional surgical technique designed to address the ascending aortic pathology often results in leaving residual dissection in the descending thoracoabdominal aorta. The management of late aneurysmal formation in the remaining distal aorta remains a clinical challenge. Even in a contemporary series, distal reoperation of thoracoabdominal aortic aneurysms in the setting of chronic dissections has been associated with perioperative mortality up to 30% [1].

Jakob and coauthors [2] propose a novel modification of the conventional open repair in an attempt to alter the fate of distal residual aortic dissection and possibly improve long-term outcome. The fundamental question is: "Does . . . [Full Text of this Article]


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Combining Classic Surgery With Descending Stent Grafting for Acute DeBakey Type I Dissection
Heinz Jakob, Konstantinos Tsagakis, Paschalis Tossios, Parwis Massoudy, Matthias Thielmann, Thomas Buck, Holger Eggebrecht, and Markus Kamler
Ann. Thorac. Surg. 2008 86: 95-101. [Abstract] [Full Text] [PDF]





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