Acute type A aortic dissection - a review
Research output: Contribution to journal › Review › Research › peer-review
Documents
- Acute type A aortic dissection
Final published version, 2.14 MB, PDF document
Acute type A aortic dissection (ATAAD) is still one of the most challenging diseases that cardiac surgeons encounter. This review is based on the current literature and includes the results from the Nordic Consortium for Acute Type-A Aortic Dissection (NORCAAD) database. It covers different aspects of ATAAD and concentrates on the outcome of surgical repair. The diagnosis is occasionally delayed, and ATAAD is usually lethal if prompt repair is not performed. The dynamic nature of the disease, the variation in presentation and clinical course, and the urgency of treatment require significant attentiveness. Many surgical techniques and perfusion strategies of varying complexity have been described, ranging from simple interposition graft to total arch replacement with frozen elephant trunk and valve-sparing root reconstruction. Although more complex techniques may provide long-term benefit in selected patients, they require significant surgical expertise and experience. Short-term survival is first priority so an expedited operation that fits in with the surgeon's level of expertise is in most cases appropriate.
Original language | English |
---|---|
Journal | Scandinavian Cardiovascular Journal |
Volume | 54 |
Issue number | 1 |
Pages (from-to) | 1-13 |
Number of pages | 13 |
ISSN | 1401-7431 |
DOIs | |
Publication status | Published - Feb 2020 |
Externally published | Yes |
- Acute Disease, Aneurysm, Dissecting/diagnostic imaging, Aortic Aneurysm/diagnostic imaging, Blood Vessel Prosthesis, Blood Vessel Prosthesis Implantation/adverse effects, Endovascular Procedures/adverse effects, Humans, Postoperative Complications/mortality, Risk Factors, Stents, Time Factors, Treatment Outcome
Research areas
Number of downloads are based on statistics from Google Scholar and www.ku.dk
ID: 244370896