Evolution of aortic dissection after surgical repair

Fattori, Rossella; Reggiani, Maria Letizia Bacchi; Bertaccini, Paola; Napoli, Gabriella; Fusco, Francesca R.; Longo, Massimo; Pierangeli, A; Gavelli, Giampaolo

doi:10.1016/s0002-9149(00)01108-5

Cited by 133 publications

(94 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Repeat surgery is required in approximately 12-30% of patients, usually due to extension of dissection, aneurysm formation, or infection [1]. The very rapid progression of the distal arch and proximal descending aorta in our patient was caused by patent false lumen.…”

Section: Discussionmentioning

confidence: 68%

Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula After Covered Rupture of Aortic Homograft – A Durable Option?

Nozdrzykowski¹,

Garbade²,

Leinung³

et al. 2017

aorta

View full text Add to dashboard Cite

A 63-year-old woman underwent replacement of the aortic root, ascending aorta, and partial arch due to Type A aortic dissection. Shortly thereafter, a replacement of the distal aortic arch and descending aorta was performed. Three years later, the patient developed an aortoesophageal fistula (AEF) resulting in re-replacement of the distal aortic arch and proximal descending aorta with a cryopreserved aortic homograft. Six weeks post-discharge, the patient was readmitted due to recurrent AEF. A thoracic endovascular stent graft was implanted to cover the aortic rupture, followed by correction of an esophageal lesion. The patient was monitored closely over time.

show abstract

Section: Discussionmentioning

confidence: 68%

Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula After Covered Rupture of Aortic Homograft – A Durable Option?

Nozdrzykowski¹,

Garbade²,

Leinung³

et al. 2017

aorta

View full text Add to dashboard Cite

show abstract

“…For patients who had distal dissection after surgery, close follow-up by MRI examination provided effective prevention of aortic rupture. 31) Kawahito, et al reported that the actuarial survival rate for an elderly group of patients 75 years or older was not significantly different from that for younger age group patients. 32) Thus, the early surgical outcomes of acute type A dissection in these two groups did not show a significant difference.…”

Section: Discussionmentioning

confidence: 96%

<b>Newly Diagnosed Acute Aortic Dissection</b>

et al. 2005

View full text Add to dashboard Cite

SUMMARYThe objective of the present study was to examine cases of acute aortic dissection in order to analyze the clinical and diagnostic findings, and to summarize their treatment modalities, as well as their hospital outcomes.Between July 1998 and June 1999, we prospectively studied patients who were newly diagnosed as having acute aortic dissection at 25 hospitals in Mie prefecture. These cases were examined for their demographics, the characteristics of the clinical findings, diagnostic methods, treatment modalities according to the type of aortic dissection, and the early morbidity and mortality of the hospital outcomes.Of 66 newly diagnosed aortic dissections (43 males), 30 were type A and 36 were type B. Seventy-six percent of the cases arrived at a medical facility within 6 hours from the onset of symptoms. Frequent initial symptoms and clinical findings were pain in 95.5%, cardiac arrest and/or hypotension in 21%, pericardial effusion in 29%, pleural effusion in 25%, and neurological signs in 30%. Twenty-one patients underwent surgical repair, 36 were treated medically, and 5 underwent endovascular stenting. Overall early mortality was 12.1%, which included 2 DOA. Fifty percent of these deaths occurred within 48 hours, and 63% by 72 hours of the initial event.In spite of the relatively rare incidence of acute aortic dissection in our study, the calculated incidence was 4.0/100,000/year. The overall mortality rate was relatively low compared to the figures reported in the literature, suggesting the earliest possible diagnosis and timely intervention are critically important to attain successful outcomes. (Int Heart J 2005; 46: 1083-1098

show abstract

“…Согласно многочисленным опубликован-ным работам [11][12][13], данный фактор является неза-висимым предиктором роста неоперированных отде-лов аорты. Во всех опубликованных работах выделялась группа пациентов с синдромами диспла-зии соединительной ткани, а в некоторых работах синдром Марфана выделялся как достоверный пре-диктор неблагоприятного исхода в отдаленном пери-оде [14].…”

Section: Discussionunclassified

The Condition of Distal Aorta After Proximal Reconstruction for Dissection in Marfan Syndrome

Чернявский¹,

Ляшенко²,

Сирота³

et al. 2016

Russ J Cardiol

View full text Add to dashboard Cite

Marfan syndrome is a disease associated with high prevalence of aorta-related morbidity and mortality. Dissections and ruptures of thoracal aorta (ThAo) lead to decreased life duration in persons with Marfan syndrome with mediana at 30 year-old. Aim. To study the changes of distal aorta and clinical outcomes after surgical treatment for proximal aorta dissection in Marfan syndrome. Material and methods. In the SRICP, among patients operated for proximal aorta dissection, 14 were selected, who had histologically proven Marfan syndrome. They were followed-up. Results. In the long-term follow-up after the intervention on thoracoabdominal aorta (TAAo) was required in 2 patients. Reasons for transforming of the distal aorta were the age of the disease onset (p=0,04), acute stage of dissection (p=0,02). Changes in TAAo developed during first months after primary intervention, as in several years. Conclusion.Surgery for proximal dissections in Marfan syndrome patients is related to acceptable levels of morbidity and mortality in early and post-operation periods. Regular follow-up is required of such patients in post-operation period for on-time diagnostics and performing of secondary interventions.Russ J Cardiol 2016, 11 (139): 7-11 http://dx

show abstract

Evolution of aortic dissection after surgical repair

Cited by 133 publications

References 18 publications

Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula After Covered Rupture of Aortic Homograft – A Durable Option?

Thoracic Endovascular Aortic Repair for Aortoesophageal Fistula After Covered Rupture of Aortic Homograft – A Durable Option?

<b>Newly Diagnosed Acute Aortic Dissection</b>

The Condition of Distal Aorta After Proximal Reconstruction for Dissection in Marfan Syndrome

Contact Info

Product

Resources

About