Open AccessProximal repair in acute type A aortic dissection: The dark side of the root
Author(s) -
Pietro Giorgio Malvindi,
Wim J. Morshuis,
Domenico Paparella
Publication year - 2016
Publication title -
journal of the egyptian society of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
eISSN - 2524-1745
pISSN - 1110-578X
DOI - 10.1016/j.jescts.2016.08.009
Subject(s) - aortic dissection , aortic root , medicine , ascending aorta , dissection (medical) , aorta , surgery , cardiology , radiology
There is no agreement regarding the best treatment for proximal repair in acute type A aortic dissection. Isolated replacement of the ascending aorta has been shown effective but can leave patients at a higher risk of further aortic procedures. The interpretation of the results coming from the literature is difficult because of the great variability of the clinical scenarios and the anatomic extension of the dissection. The analysis of the risk factors suggests that the presence of the underlying root pathology and a more extensive involvement of the aortic root should address the surgeon towards a more radical proximal resection