Acute Type A Aortic Dissection: Surgical Intervention for All: CON

被引：10

作者：

Elefteriades, John A. ^{[1
]}

Feldman, Marina ^{[1
]}

机构：

[1] Yale Univ, Sch Med, Yale New Haven Hosp, Sect Cardiac Surg,Dept Surg, New Haven, CT 06520 USA

来源：

CARDIOLOGY CLINICS | 2010年 / 28卷 / 02期

关键词：

Type A aortic dissection; Medical management; Surgical therapy; Dissection surgery; ASCENDING AORTA; MANAGEMENT; SURGERY; REPAIR; DELAY;

D O I：

10.1016/j.ccl.2010.02.010

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This article considers the role for interval or permanent medical therapy for specific groups of acute type A aortic dissection patients. These include patients with extremely advanced age or prohibitive comorbidities, realized stroke, prior aortic valve replacement, and those who have already survived several days after onset of symptoms. This consideration represents a "back to the future" paradigm shift reminiscent of the earliest recommendations before surgical therapy was feasible or safe.

引用

页码：325 / +

页数：8

共 25 条

[1] Is surgery always mandatory for type a aortic dissection? [J].

Centofanti, Paolo ;

Flocco, Roberto ;

Ceresa, Fabrizio ;

Attisani, Matteo ;

La Torre, Michele ;

Weltert, Luca ;

Calafiore, Antonio Maria .

ANNALS OF THORACIC SURGERY, 2006, 82 (05) :1658-1664

[2] Predictors of in-hospital mortality in patients with acute aortic dissection [J].

Chan, SH ;

Liu, PY ;

Lin, LJ ;

Chen, JH .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2005, 105 (03) :267-273

[3] AORTIC DISSECTION AND DISSECTING AORTIC-ANEURYSMS [J].

CRAWFORD, ES ;

SVENSSON, LG ;

COSELLI, JS ;

SAFI, HJ ;

HESS, KR .

ANNALS OF SURGERY, 1988, 208 (03) :254-273

[4]

Dalen J E, 1974, Am J Cardiol, V34, P803, DOI 10.1016/0002-9149(74)90700-0

[5] What is the optimal management of late-presenting survivors of acute type A aortic dissection? [J].

Davies, Ryan R. ;

Coe, Marcus P. ;

Mandapati, Divakar ;

Gallo, Amy ;

Botta, Donald M. ;

Elefteriades, John A. ;

Coady, Michael A. .

ANNALS OF THORACIC SURGERY, 2007, 83 (05) :1593-1602

[6] Surgical delay for acute type A dissection with malperfusion [J].

Deeb, GM ;

Williams, DM ;

Bolling, SF ;

Quint, LE ;

Monaghan, H ;

Sievers, J ;

Karavite, D ;

Shea, M .

ANNALS OF THORACIC SURGERY, 1997, 64 (06) :1669-1675

[7] Management of descending aortic dissection [J].

Elefteriades, JA ;

Lovoulos, CJ ;

Coady, MA ;

Tellides, G ;

Kopf, GS ;

Rizzo, JA .

ANNALS OF THORACIC SURGERY, 1999, 67 (06) :2002-2005

[8] LONG-TERM EXPERIENCE WITH DESCENDING AORTIC DISSECTION - THE COMPLICATION-SPECIFIC APPROACH [J].

ELEFTERIADES, JA ;

HARTLEROAD, J ;

GUSBERG, RJ ;

SALAZAR, AM ;

BLACK, HR ;

KOPF, GS ;

BALDWIN, JC ;

HAMMOND, GL .

ANNALS OF THORACIC SURGERY, 1992, 53 (01) :11-21

[9] Outcomes of medical management of acute type B aortic dissection [J].

Estrera, Anthony L. ;

Miller, Charles C., III ;

Safi, Hazim J. ;

Goodrick, Jennifer S. ;

Keyhani, Arash ;

Porat, Eyal E. ;

Achouh, Paul E. ;

Meada, Riad ;

Azizzadeh, Ali ;

Dhareshwar, Jayesh ;

Allaham, Adnan .

CIRCULATION, 2006, 114 :I384-I389

[10] Acute type A aortic dissection complicated by stroke: Can immediate repair be performed safely? [J].

Estrera, Anthony L. ;

Garami, Zsolt ;

Miller, Charles C. ;

Porat, Eyal E. ;

Achouh, Paul E. ;

Dhareshwar, Jayesh ;

Meada, Riad ;

Azizzadeh, Ali ;

Safi, Hazim J. .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2006, 132 (06) :1404-1408

← 1 2 3 →