Acute non-A-non-B aortic dissection: surgical or conservative approach?

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Paul P Urbanski, Matthias Wagner

Abstract

The indications for surgical approach in both type A and type B acute aortic dissections are widely recognized and accepted, but little is known about non-A-non-B dissection in which the aortic arch dissection is not accompanied by the involvement of the ascending aorta. Between July 2002 and August 2014, all patients referred to our clinic with acute aortic dissection (n=281) were classified prospectively, taking into consideration the extent of dissection and the location of the intimal tear in three main segments of the aorta: the ascending aorta including the root, the transverse arch and the descending aorta. Accordingly, a total of 8 patients with a non-A-non-B dissection (isolated arch dissection, 1, or descending aorta and arch dissection, 7) were identified in addition to 187 type A and 86 type B dissections. Four patients (median age 62, range 61-81 years) with an entry in the arch underwent surgery, and 4 (median age 67, range 54-74 years) with an entry in the descending aorta were treated conservatively. All operated patients survived the surgery and remained alive without relevant clinical events during the median follow-up time of 40 months (range, 30-141). In contrast, 3 patients treated conservatively died 1, 3 ...Continue Reading

References

Mar 1, 1979·The American Journal of Cardiology·P R Cipriano, R B Griepp
Sep 1, 1970·The Annals of Thoracic Surgery·P O DailyN E Shumway
Jul 3, 1999·The Annals of Thoracic Surgery·S L LansmanR B Griepp
Dec 28, 1999·The New England Journal of Medicine·M PasicR Hetzer
Dec 29, 2000·Annals of Vascular Surgery·E KiefferD Eyraud
Feb 28, 2003·The Annals of Thoracic Surgery·Paul P UrbanskiRobert W Hacker
Mar 22, 2008·The Annals of Thoracic Surgery·Cary W AkinsUNKNOWN EACTS
May 7, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul P UrbanskiAnno Diegeler
May 11, 2010·Cardiology Clinics·Paul P UrbanskiAnno Diegeler
Aug 4, 2010·The Thoracic and Cardiovascular Surgeon·P P UrbanskiA Diegeler
May 17, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Konstantinos TsagakisHeinz Jakob
May 28, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paul P UrbanskiAnno Diegeler
Aug 25, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Chang ShuHao He
Sep 11, 2012·The British Journal of Surgery·T KrügerE Weigang
Mar 13, 2014·Radiology·Jason K LempelCharles S White

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Citations

Oct 28, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Eric E Roselli
Jan 5, 2018·Interactive Cardiovascular and Thoracic Surgery·Paul P UrbanskiRainer Schmitt
Jun 6, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Bartosz RylskiMartin Czerny
Jul 14, 2020·Frontiers in Surgery·Salah D QanadliDavid C Rotzinger
Feb 7, 2021·Journal of Cardiac Surgery·Callum HowardMohammad Bashir
Nov 23, 2020·Interactive Cardiovascular and Thoracic Surgery·Luca KoechlinDenis A Berdajs
Apr 21, 2021·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Mana ModaresElsie T Nguyen
Aug 3, 2020·The Journal of Thoracic and Cardiovascular Surgery·Weitie WangKexiang Liu

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