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

被引：64

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

页码：519 / 522

页数：4

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