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Title: Current status in decision making to treat acute type A dissection: limited versus extended repair.
Austin Authors: Velayudhan, Bashi V;Idhrees, Mohammed;Matalanis, George ;Park, Kay-Hyun;Tang, David;Sfeir, Pierre M;Hosseini, Saeid;Bashir, Mohamad
Affiliation: Institute for Cardiac and Aortic Disorders, SRM Institutes for Medical Science (SIMS Hospitals), Chennai, India
Austin Health, Heidelberg, Victoria, Australia
Institute for Cardiac and Aortic Disorders, SRM Institutes for Medical Science (SIMS Hospitals), Chennai, India
Bundang Hospital, Seoul National University, Seongnam, South Korea
Queen Elizabeth Hospital (II), Kota Kinabalu, Malaysia
American University of Beirut Medical Center, Beirut, Lebanon
Heart Valve Disease Research Center, Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
Department of Vascular and Endovascular Surgery, Royal Blackburn Teaching Hospital, Blackburn, UK
Issue Date: Jun-2020 2020-06
Publication information: The Journal of cardiovascular surgery 2020; 61(3): 285-291
Abstract: Acute type A aortic dissection remains one of the most challenging conditions in aortic surgery. Despite the advancements in the field, the mortality rate still remains high. Though there is a general consensus that the ascending aorta should be replaced, the distal extension of the surgery still remains a controversy. Few surgeons argue for a conservative approach to reduce operative and postoperative morbidity while others considering the problems associated with "downstream problems" support an aggressive approach including a frozen elephant trunk. The cohort in the Indian subcontinent and APAC is far different from the western world. Many factors determine the decision for surgery apart from the pathology of the disease. Economy, availability of the suitable prosthesis, the experience of the surgeon, ease of access to the medical facility all contribute to the decision making to treat acute type A dissection.
DOI: 10.23736/S0021-9509.20.11397-1
PubMed URL: 32337940
Type: Journal Article
Appears in Collections:Journal articles

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