Late reoperations after repaired acute type A aortic dissection

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Acute type A aortic dissection: long-term results and reoperations.

OBJECTIVES The objective of this study was to report long-term results and incidence of reoperations after surgery for acute type A dissection. METHODS All 232 consecutive patients who underwent surgery for acute type A aortic dissection from 1972 to April 2011 were included. Patient, procedural and follow-up information was obtained from hospital records. RESULTS Mean age was 57.9 years (s...

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Acute Type A Dissection and Acute Inferior MI Complicating Aortic Coarctation: A Case Report

Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation. A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His ele...

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Risk of late reoperations in patients with acute type A aortic dissection: impact of a more radical surgical approach.

OBJECTIVE To evaluate the incidence and risk factors for reoperations on the pre-isthmic aorta after repair of type A acute aortic dissection. METHODS From January 1979 to December 1996, 178 patients (125 males and 53 females with a mean age of 57 +/- 9 years) underwent emergency surgery for acute type A aortic dissection with an overall operative mortality rate of 21%. One hundred and forty-...

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Complex Reoperation for Late Complications After Acute Type A Aortic Dissection Surgery.

The correct management of acute Type A dissection continues to be a challenge. The primary goal is to save the patient´s life. However, the decision regarding the surgical approach determines possible later complications. We present the case of a 59-year-old female patient with a past history of emergent surgery for acute Type A dissection treated by supracoronary ascending and aortic valve rep...

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A Case of Coronary Artery Dissection After Aortic Replacement in Acute Type A Aortic Dissection

A 59-year-old woman was transferred to our institution with a diagnosis of acute type A aortic dissection. During aortic replacement surgery, the dissection had not extended to the orifice of the left coronary artery. However, ST segment elevation was observed on an electrocardiogram monitor immediately postoperatively. An emergent coronary angiogram showed almost complete collapse of the lumen...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2012

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2011.08.052