Acute type A aortic dissection - a review
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Acute type A aortic dissection - a review. / Gudbjartsson, Tomas; Ahlsson, Anders; Geirsson, Arnar; Gunn, Jarmo; Hjortdal, Vibeke; Jeppsson, Anders; Mennander, Ari; Zindovic, Igor; Olsson, Christian.
I: Scandinavian Cardiovascular Journal, Bind 54, Nr. 1, 02.2020, s. 1-13.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Acute type A aortic dissection - a review
AU - Gudbjartsson, Tomas
AU - Ahlsson, Anders
AU - Geirsson, Arnar
AU - Gunn, Jarmo
AU - Hjortdal, Vibeke
AU - Jeppsson, Anders
AU - Mennander, Ari
AU - Zindovic, Igor
AU - Olsson, Christian
PY - 2020/2
Y1 - 2020/2
N2 - 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.
AB - 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.
KW - Acute Disease
KW - Aneurysm, Dissecting/diagnostic imaging
KW - Aortic Aneurysm/diagnostic imaging
KW - Blood Vessel Prosthesis
KW - Blood Vessel Prosthesis Implantation/adverse effects
KW - Endovascular Procedures/adverse effects
KW - Humans
KW - Postoperative Complications/mortality
KW - Risk Factors
KW - Stents
KW - Time Factors
KW - Treatment Outcome
U2 - 10.1080/14017431.2019.1660401
DO - 10.1080/14017431.2019.1660401
M3 - Review
C2 - 31542960
VL - 54
SP - 1
EP - 13
JO - Scandinavian Cardiovascular Journal
JF - Scandinavian Cardiovascular Journal
SN - 1401-7458
IS - 1
ER -
ID: 244370896