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Acute type A aortic dissection–a review

Acute type A aortic dissection–a review

Title: Acute type A aortic dissection–a review
Author: Gudbjartsson, Tomas   orcid.org/0000-0002-7281-5749
Ahlsson, Anders
Geirsson, Arnar   orcid.org/0000-0002-8943-9962
Gunn, Jarmo
Hjortdal, Vibeke
Jeppsson, Anders
Mennander, Ari
Zindovic, Igor
Olsson, Christian
Date: 2020-01-02
Language: English
Scope: 13
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Faculty of Medicine
Cardio-Vascular Center
Series: Scandinavian Cardiovascular Journal; 54(1)
ISSN: 1401-7431
DOI: https://doi.org/10.1080/14017431.2019.1660401
Subject: Aortic dissection; ascending aorta; diagnosis; NORCAAD; outcome; review; treatment; type A; Cardiology and Cardiovascular Medicine
URI: https://hdl.handle.net/20.500.11815/3389

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Gudbjartsson , T , Ahlsson , A , Geirsson , A , Gunn , J , Hjortdal , V , Jeppsson , A , Mennander , A , Zindovic , I & Olsson , C 2020 , ' Acute type A aortic dissection–a review ' , Scandinavian Cardiovascular Journal , vol. 54 , no. 1 , pp. 1-13 . https://doi.org/10.1080/14017431.2019.1660401


Acute type A aortic dissection (ATAAD) is still one of the most challenging diseases that cardiac surgeons encounter. This review is based on the current literature and includes the results from the Nordic Consortium for Acute Type-A Aortic Dissection (NORCAAD) database. It covers different aspects of ATAAD and concentrates on the outcome of surgical repair. The diagnosis is occasionally delayed, and ATAAD is usually lethal if prompt repair is not performed. The dynamic nature of the disease, the variation in presentation and clinical course, and the urgency of treatment require significant attentiveness. Many surgical techniques and perfusion strategies of varying complexity have been described, ranging from simple interposition graft to total arch replacement with frozen elephant trunk and valve-sparing root reconstruction. Although more complex techniques may provide long-term benefit in selected patients, they require significant surgical expertise and experience. Short-term survival is first priority so an expedited operation that fits in with the surgeon’s level of expertise is in most cases appropriate.


Publisher Copyright: © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

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