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Ann Thorac Surg 2012;93:1522-1523. doi:10.1016/j.athoracsur.2012.03.009
© 2012 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Anthony L. Estrera, MD

Department of Cardiothoracic and Vascular Surgery, The University of Texas Medical School at Houston, 6400 Fannin, Ste 2850, Houston, TX 77030

(Email: anthony.l.estrera@uth.tmc.edu).

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

In 1955, Burchell first recognized the therapeutic significance of the site of the tear in aortic dissection [1]. Subsequently, Hirst and colleagues [2] provided an anatomic description on aortic dissection in his comprehensive treatise in 1958. Soon after, Debakey and colleagues [3] reported an abridged version of the anatomic scheme and correlated each type with surgical outcome. From this, the Debakey classification differentiated the proximal (Debakey types I and II) from the distal aorta (Debakey types III and IV). Ultimately, Daily and associates [4] simplified further the classification of acute aortic dissection into Stanford type A (which involved the ascending aorta) and the Stanford type B, which was "limited to the descending thoracic aorta." The Stanford classification had implications on both management and prognosis. Because of . . . [Full Text of this Article]


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Ann. Thorac. Surg. 2012 93: 1517-1522. [Abstract] [Full Text] [PDF]





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