Is surgery in acute aortic dissection type A still contraindicated in the presence of preoperative neurological symptoms? | Zendy

Henriette Most | Zendy; B. Reinhard | Zendy; Brigitta Gahl | Zendy; Lars Englberger | Zendy; Alexander Kadner | Zendy; Alberto Weber | Zendy; Jürg Schmidli | Zendy; Thierry Carrel | Zendy; Christoph Huber | Zendy

Open Access

Is surgery in acute aortic dissection type A still contraindicated in the presence of preoperative neurological symptoms?

Author(s) -

Henriette Most,

B. Reinhard,

Brigitta Gahl,

Lars Englberger,

Alexander Kadner,

Alberto Weber,

Jürg Schmidli,

Thierry Carrel,

Christoph Huber

Publication year - 2015

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezu538

Subject(s) - medicine , glasgow coma scale , modified rankin scale , paraplegia , surgery , aortic dissection , contraindication , anesthesia , coma (optics) , stroke (engine) , dissection (medical) , deep hypothermic circulatory arrest , spinal cord , aorta , ischemic stroke , ischemia , cerebral blood flow , mechanical engineering , physics , alternative medicine , optics , pathology , psychiatry , engineering , cerebral perfusion pressure

Severe neurological deficit (ND) due to acute aortic dissection type A (AADA) was considered a contraindication for surgery because of poor prognosis. Recently, more aggressive indication for surgery despite neurological symptoms has shown acceptable postoperative clinical results. The aim of this study was to evaluate early and mid-term outcomes of patients with AADA presenting with acute ND.

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