Intimal tear signalizes aortic dissection creating a true and false lumen. No matter
where the main intimal break is, type A aortic dissection affects the ascending aorta.
Acute type A aortic dissection (AAAD) is a surgical emergency. Affected individuals
experience a greater chance of developing potentially fatal consequences. Without
surgery, death usually may follow within hours (1–2% per hour after the beginning
of symptoms) [
[1]
].Abbreviations:
VSARR (Valve-Sparing Aortic Root Replacement), AAAD (Acute type A aortic dissection)To read this article in full you will need to make a payment
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References
- Aortic dissection: new frontiers in diagnosis and management: part I: from etiology to diagnostic strategies.Circulation. 2003; 108: 628
- Long-term outcomes of valve-sparing root versus composite valve graft replacement for acute type a aortic dissection: meta-analysis of reconstructed time-to-event data.Int. J. Cardiol. 2023; : 55-63
- Surgical management of aortic root in type a acute aortic dissection: a propensity-score analysis.Eur. J. Cardiothorac. Surg. 2016 Aug 1; 50: 223-229
- Valve-sparing root reconstruction does not compromise survival in acute type a aortic dissection.Ann. Thorac. Surg. 2012 Oct 1; 94: 1230-1234
- Sixteen-year experience of David and Bentall procedures in acute type a aortic dissection.Ann. Thorac. Surg. 2018 Mar 1; 105: 779-784
- 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on clinical practice guidelines.J. Am. Coll. Cardiol. 2022 Dec 13; 80: e223-e393
Article info
Publication history
Published online: April 13, 2023
Accepted:
April 7,
2023
Received:
April 2,
2023
Identification
Copyright
© 2023 Elsevier B.V. All rights reserved.
