Clinical features of acute aortic dissection from the Registry of Aortic Dissection in China

Wang, Weiguang; Duan, Weixun; Yang, Xue; Wang, Ling; Liu, Jincheng; Yu, Shiqiang; Yi, Dan

doi:10.1016/j.jtcvs.2014.07.068

Cited by 128 publications

(100 citation statements)

References 35 publications

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“…The discrepancy between our data and those obtained from Chinese patients, along with the similarity between our data and those from Caucasian patients, may be because, compared with the Chinese population, the majority of the Japanese population receives a level of advanced medical care that is similar to that available to Western populations. 36 The diameter of the aorta at each location seemed to be smaller than those in previously published reports, but the mean maximum diameter of the ascending aorta was similar to that described in the literature. 18-20 As for the location of the ET, our results were similar to those of previous studies.…”

Section: Anatomical Characteristicssupporting

confidence: 77%

Anatomic Feasibility of Next-Generation Stent Grafts for the Management of Type A Aortic Dissection in Japanese Patients

Fujimura

Kawaguchi

Obara

et al. 2017

Circ J

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even in cases of uncomplicated TBAD, 12 and the application of this surgical technique to manage aortic dissection seems to be expanding.On the other hand, there have been only a few case series reported in the literature on the use of TEVAR for TAAD. 13-15 The use of this surgical technique for managing TAAD is complicated by multiple factors including the location of the coronary artery, involvement of arch vessels, and proximity of the aortic valve, among others, as all factors could, in theory, contribute to a potentially fatal outcome should operative complications arise. 16 The largest series reported is by Ye et al, 17 who reported the results of 45 TEVARs for Chinese patients with TAAD with excellent results. However, no large case series have been reported since, and it appears that TEVAR for TAAD is still not applicable using current devices.As a means of teasing out the anatomical problems of TAAD, a few feasibility studies have evaluated TEVAR for TAAD using the manufacturers' instructions for use S tanford type A aortic dissection (TAAD) remains the most lethal aortic emergency, with a 50% mortality rate within 48 h of onset. 1,2 The only available standard treatment is open surgical repair, 3,4 and although recent advances in perioperative management have led to improved outcomes, 5,6 TAAD is still associated with high rates of morbidity and mortality. 7-9 Moreover, because of high levels of surgical stress, approximately 20% of patients are still denied treatment. 1 Thoracic endovascular aneurysm repair (TEVAR) was originally developed as a treatment for aneurysms, but when used to close the primary entry tear (ET) of acute complicated type B aortic dissections (TBAD), it had favorable outcomes, including enlargement of the collapsed true lumen, increased flow through the true lumen, thrombus formation leading to occlusion in the false lumen, and ultimately, aortic remodeling to cure the dissection. It has already become the treatment of choice for complicated TBAD.

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Section: Anatomical Characteristicssupporting

confidence: 77%

Anatomic Feasibility of Next-Generation Stent Grafts for the Management of Type A Aortic Dissection in Japanese Patients

Fujimura

Kawaguchi

Obara

et al. 2017

Circ J

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“…Several predictors have been studied in recent years to identify acute type B AD patients at high risk for aortic enlargement who may benefit from early surgical or endovascular intervention. 15,16 These factors include but are not limited to age, race, patency of the false .007…”

Section: Discussionmentioning

confidence: 99%

Volumetric analysis of the initial index computed tomography scan can predict the natural history of acute uncomplicated type B dissections

Lavingia

Larion

Ahanchi

et al. 2015

Journal of Vascular Surgery

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“…In our patient, CT demonstrated, at his first admission, the extension of the dissection into both CCA. Aortic dissection extending to extracranial right ICA with a tortuous “S” shape as in our patient was not mentioned in IRAD, Sino‐RAD, or other published studies …”

Section: Discussionmentioning

confidence: 60%

Ultrasonographic detection of chronic type A aortic dissection extending to the right extracranial internal carotid artery: A case report

Sun

Dong

et al. 2019

J of Clinical Ultrasound

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We report the case of a patient with chronic type A aortic dissection (AD), who had been admitted, 18 months ago, to another hospital with acute chest‐tearing pain accompanied with transient loss of consciousness. His symptoms resolved but he reported after discharge a toothache and fluctuating right mandibular pain. He presented to our outpatient clinic because his facial pain aggravated. Physical examination demonstrated a bruit over the right carotid artery. Transthoracic echocardiography and carotid sonography demonstrated aortic dissection extending into the extracranial right internal carotid artery (ICA), which was tortuous. The patient refused surgery. This case reminds us that AD can involve the extracranial ICA, and that long‐term survival is possible with type A acute AD without treatment. Carotid ultrasonography is noninvasive, inexpensive, easily performed, and can lead to the detection of chronic type A AD extending to the extracranial ICA.

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Clinical features of acute aortic dissection from the Registry of Aortic Dissection in China

Cited by 128 publications

References 35 publications

Anatomic Feasibility of Next-Generation Stent Grafts for the Management of Type A Aortic Dissection in Japanese Patients

Anatomic Feasibility of Next-Generation Stent Grafts for the Management of Type A Aortic Dissection in Japanese Patients

Volumetric analysis of the initial index computed tomography scan can predict the natural history of acute uncomplicated type B dissections

Ultrasonographic detection of chronic type A aortic dissection extending to the right extracranial internal carotid artery: A case report

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