ArticleAnnals of vascular diseases2012
Acute type a aortic dissection: for further improvement of outcomes.
Article in Annals of vascular diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Double arterial cannulation strategy for acute type A aortic dissection repair: A 10-year single-institution experience.PloS one · 2019Trial
- Article
- Beware of the DeBakey type I aortic dissection hidden by ischemic stroke: Two case reports.World journal of clinical cases · 2022Article
- A preoperative mortality risk assessment model for Stanford type A acute aortic dissection.BMC cardiovascular disorders · 2020Article
- Risk factors for neurological dysfunctions after surgical repair of acute aortic dissection type A.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2020Article
- STAT3 Activation Correlates with Adventitial Neutrophil Infiltration in Human Aortic Dissection.Annals of vascular diseases · 2019Article
- Oxygenation impairment in patients with acute aortic dissection is associated with disorders of coagulation and fibrinolysis: a prospective observational study.Journal of thoracic disease · 2019Article
- The frequency of initial misdiagnosis of acute aortic dissection in the emergency department and its impact on outcome.Internal and emergency medicine · 2017Article
- Successful Delayed Aortic Surgery for a Patient with Ischemic Stroke Secondary to Aortic Dissection.Internal medicine (Tokyo, Japan) · 2017Article
- Acute Aortic Dissection Occurring "Behind The Wheel", Report of 11 Cases.Annals of vascular diseases · 2016Article
- Angiotensin II induces apoptosis of human pulmonary microvascular endothelial cells in acute aortic dissection complicated with lung injury patients through modulating the expression of monocyte chemoattractant protein-1.American journal of translational research · 2016Article
- Direct and transapical central cannulation for acute type a aortic dissection.Annals of vascular diseases · 2014Article
- Simplicity, skills, and pitfalls of ascending aortic cannulation for type A aortic dissection.Journal of cardiothoracic surgery · 2013Article
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Authors and funding
1 author.
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Abstract
Despite improved outcomes of acute type A aortic dissection (AAAD), many patients die at the moment of onset, and hospital mortality is still high. This article reviews the latest literature to seek the best possible way to optimize outcomes. Delayed diagnosis is caused by variation in or absence of typical symptoms, especially in patients with neurological symptoms. Misdiagnosis as acute myocardial infarction is another problem. Improved awareness by physicians is needed. On arrival, quick admission to the OR is desirable, followed by assessment with transesophageal echocardiography, and malperfusion already exists or newly develops in the OR; thus, timely diagnosis without delay with multimodality assessment is important. Although endovascular therapy is promising, careful introduction is mandatory so as not to cause complications. While various routes are used for the systemic perfusion, not a single route is perfect, and careful monitoring is essential. Surgical treatment on octogenarians is increasingly performed and produces better outcomes than conservative therapy. Complications are not rare, and consent from the family is essential. Prevention of AAAD is another important issue because more patients die at its onset than in the following treatment. In addition to hereditary diseases, including bicuspid aortic valve disease, the management of blood pressure is important.
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