Classification of acute type a dissection: focus on clinical presentation and extent

被引：63
作者：
Augoustides, John G. T. [1 ]
Szeto, Wilson Y. [2 ]
Desai, Nimesh D. [2 ]
Pochettino, Alberto [2 ]
Cheung, Albert T. [1 ]
Savino, Joseph S. [1 ]
Bavaria, Joseph E. [2 ]
机构：
[1] Univ Penn, Med Ctr, Cardiothorac & Vasc Sect, Philadelphia, PA 19104 USA
[2] Univ Penn, Med Ctr, Dept Surg, Div Cardiovasc Surg,Thorac Aort Surg Program, Philadelphia, PA 19104 USA
来源：
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2011年 / 39卷 / 04期
关键词：
Type A dissection; Stanford classification; DeBakey classification; TOTAL ARCH REPLACEMENT; OPEN STENT GRAFT; AORTIC-DISSECTION; SURGICAL-TREATMENT; INTERNATIONAL-REGISTRY; REPAIR; MALPERFUSION; MANAGEMENT; MORTALITY; OUTCOMES;
D O I：
10.1016/j.ejcts.2010.05.038
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Recent advances in the management of acute Stanford type A dissection have highlighted the clinical importance of clinical presentation and extent of dissection. The Penn classification of type A clinical presentations is based on ischemic profiles that not only determine mortality but also influence management options. The extent of type A dissection as summarized by the DeBakey classification significantly determines the role of endovascular intervention in this important disease. We propose an integration of these three classifications of acute type A dissection as a framework for future advances in diagnosis, intervention and prognosis. (C) 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码：519 / 522
页数：4
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