Heart, Lung and Circulation
Volume 15, Issue 2 , Pages 105-112 , April 2006

Surgery for Acute Type A Aortic Dissection: A 37-Year Experience in Green Lane Hospital

  • Kotaro Suehiro, MD

      Affiliations

    • Green Lane Cardiothoracic Surgical Unit, Auckland City Hospital, Main Building Level 4 Room 43, Park Road, Auckland, New Zealand
  • ,
  • Patrick Pritzwald-Stegmann, MD

      Affiliations

    • Green Lane Cardiothoracic Surgical Unit, Auckland City Hospital, Main Building Level 4 Room 43, Park Road, Auckland, New Zealand
  • ,
  • Teena West, MSc

      Affiliations

    • Biostatistics Cardiac Services, Auckland City Hospital, Auckland, New Zealand
  • ,
  • Alan R. Kerr, FRACS

      Affiliations

    • Green Lane Cardiothoracic Surgical Unit, Auckland City Hospital, Main Building Level 4 Room 43, Park Road, Auckland, New Zealand
  • ,
  • David A. Haydock, MB, ChB, FRACS

      Affiliations

    • Green Lane Cardiothoracic Surgical Unit, Auckland City Hospital, Main Building Level 4 Room 43, Park Road, Auckland, New Zealand
    • Corresponding Author InformationCorresponding author. Tel.: +64 9 307 4949; fax: +64 9 630 9873.

Received 8 August 2005 ,Revised 23 December 2005 ,Accepted 12 January 2006.

References 

  1. Apaydin AZ, Buket S, Posacioglu H, Islamoglu F, Calkavur T, Yagdi T, et al. Perioperative risk factors for mortality in patients with acute type A aortic dissection. Ann Thorac Surg. 2002;74:2034–2039discussion 2039
  2. Bachet JE, Termignon JL, Dreyfus G, Goudot B, Martinelli L, Piquois A, et al. Aortic dissection. Prevalence, cause, and results of late reoperations. J Thorac Cardiovasc Surg. 1994;108:199–205discussion 205–6
  3. Ehrlich MP, Ergin MA, McCullough JN, Lansman SL, Galla JD, Bodian CA, et al. Results of immediate surgical treatment of all acute type A dissections. Circulation. 2000;102:III248–III252
  4. Godon P, Bonnefoy E, Desjeux G, Touboul P. Early risk factors in acute type A aortic dissection: is there a predictor of preoperative mortality?. J Cardiovasc Surg (Torino). 2001;42:647–650
  5. Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. J Am Med Assoc. 2000;283:897–903
  6. Kirsch M, Soustelle C, Houel R, Hillion ML, Loisance D. Risk factor analysis for proximal and distal reoperations after surgery for acute type A aortic dissection. J Thorac Cardiovasc Surg. 2002;123:318–325
  7. Lai DT, Robbins RC, Mitchell RS, Moore KA, Oyer PE, Shumway NE, et al. Does profound hypothermic circulatory arrest improve survival in patients with acute type A aortic dissection?. Circulation. 2002;106:I218–I228
  8. Mehta RH, Suzuki T, Hagan PG, Bossone E, Gilon D, Llovet A, et al. Predicting death in patients with acute type A aortic dissection. Circulation. 2002;105:200–206
  9. Sabik JF, Lytle BW, Blackstone EH, McCarthy PM, Loop FD, Cosgrove DM. Long-term effectiveness of operations for ascending aortic dissections. J Thorac Cardiovasc Surg. 2000;119:946–962
  10. Tan ME, Morshuis WJ, Dossche KM, Kelder JC, Waanders FG, Schepens MA. Long-term results after 27 years of surgical treatment of acute type A aortic dissection. Ann Thorac Surg. 2005;80:523–529
  11. Trimarchi S, Nienaber CA, Rampoldi V, Myrmel T, Suzuki T, Mehta RH, et al. Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience. J Thorac Cardiovasc Surg. 2005;129:112–122
  12. Fann JI, Sarris GE, Miller DC, Mitchell RS, Oyer PE, Stinson EB, et al. Surgical management of acute aortic dissection complicated by stroke. Circulation. 1989;80:I257–I263
  13. DeBakey ME, McCollum CH, Crawford ES, Morris GC, Howell J, Noon GP, et al. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery. 1982;92:1118–1134
  14. Masuda Y, Yamada Z, Morooka N, Watanabe S, Inagaki Y. Prognosis of patients with medically treated aortic dissections. Circulation. 1991;84:III7–III13
  15. Yeh CH, Chen MC, Wu YC, Wang YC, Chu JJ, Lin PJ. Risk factors for descending aortic aneurysm formation in medium-term follow-up of patients with type A aortic dissection. Chest. 2003;124:989–995
  16. Sueyoshi E, Sakamoto I, Hayashi K, Yamaguchi T, Imada T. Growth rate of aortic diameter in patients with type B aortic dissection during the chronic phase. Circulation. 2004;110:II256–II261
  17. Akutsu K, Nejima J, Kiuchi K, Sasaki K, Ochi M, Tanaka K, et al. Effects of the patent false lumen on the long-term outcome of type B acute aortic dissection. Eur J Cardiothorac Surg. 2004;26:359–366
  18. Bernard Y, Zimmermann H, Chocron S, Litzler JF, Kastler B, Etievent JP, et al. False lumen patency as a predictor of late outcome in aortic dissection. Am J Cardiol. 2001;87:1378–1382
  19. Massimo CG, Presenti LF, Favi PP, Ponzalli M, Marranci P, Crisci C, et al. Excision of the aortic wall in the surgical treatment of acute type-A aortic dissection. Ann Thorac Surg. 1990;50:274–276
  20. Minale C, Splittgerber FH, Wendt G, Messmer BJ. One-stage intrathoracic repair of extended aortic aneurysms. J Card Surg. 1994;9:604–613
  21. Ando M, Nakajima N, Adachi S, Nakaya M, Kawashima Y. Simultaneous graft replacement of the ascending aorta and total aortic arch for type A aortic dissection. Ann Thorac Surg. 1994;57:669–676
  22. Kazui T, Yamashita K, Washiyama N, Terada H, Bashar AH, Suzuki T, et al. Impact of an aggressive surgical approach on surgical outcome in type A aortic dissection. Ann Thorac Surg. 2002;74:S1844–S1847discussion S1857–63
  23. Bachet J. Acute type A aortic dissection: can we dramatically reduce the surgical mortality?. Ann Thorac Surg. 2002;73:701–703
  24. Bachet J, Goudot B, Dreyfus GD, Brodaty D, Dubois C, Delentdecker P, et al. Surgery for acute type A aortic dissection: the Hopital Foch experience (1977–1998). Ann Thorac Surg. 1999;67:2006–2009discussion 2014–9
  25. Westaby S, Saito S, Katsumata T. Acute type A dissection: conservative methods provide consistently low mortality. Ann Thorac Surg. 2002;73:707–713
  26. David TE, Armstrong S, Ivanov J, Barnard S. Surgery for acute type A aortic dissection. Ann Thorac Surg. 1999;67:1999–2001discussion 2014–9
  27. Moore NR, Parry AJ, Trottman-Dickenson B, Pillai R, Westaby S. Fate of the native aorta after repair of acute type A dissection: a magnetic resonance imaging study. Heart. 1996;75:62–66
  28. Elefteriades JA. What operation for acute type A dissection?. J Thorac Cardiovasc Surg. 2002;123:201–203
  29. von Segesser LK, Lorenzetti E, Lachat M, Niederhauser U, Schonbeck M, Vogt PR, et al. Aortic valve preservation in acute type A dissection: is it sound?. J Thorac Cardiovasc Surg. 1996;111:381–390discussion 390–1
  30. Fann JI, Glower DD, Miller DC, Yun KL, Rankin JS, White WD, et al. Preservation of aortic valve in type A aortic dissection complicated by aortic regurgitation. J Thorac Cardiovasc Surg. 1991;102:62–73discussion 73–5
  31. Mazzucotelli JP, Deleuze PH, Baufreton C, Duval AM, Hillion ML, Loisance DY, et al. Preservation of the aortic valve in acute aortic dissection: long-term echocardiographic assessment and clinical outcome. Ann Thorac Surg. 1993;55:1513–1517

PII: S1443-9506(06)00029-1

doi: 10.1016/j.hlc.2006.01.003

Heart, Lung and Circulation
Volume 15, Issue 2 , Pages 105-112 , April 2006