Aortic Root and Distal Arch Management During Type A Aortic Dissection Repair: Expanding Horizons
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| Natura: | Artículo científico |
| Lingua: | en |
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Sociedade Brasileira de Cirurgia Cardiovascular
2022
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| _version_ | 1876484958497800192 |
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| author | Kaushalendra Rathore |
| author_facet | Kaushalendra Rathore |
| contents | Aortic Root and Distal Arch Management During Type A Aortic Dissection Repair: Expanding Horizons Kaushalendra Rathore Mark Newman Medicina Aorta Angina Decision Perfusion Dissecting Aneurysm The management of Type A aortic dissection has evolved over a period of a decade or so, and contemporary reports are suggesting a paradigm shift from a conservative approach to complete excision of the diseased aorta including root and distal arch. Improved cardiopulmonary bypass perfusion techniques, better understanding of the cerebral perfusion, and wide-ranging obtainability of prosthetic conduits gave surgical teams numerous choices. With improving outcomes and maturing surgical techniques, surgeons are performing extensive resections of the diseased aorta, but there is no standard protocol as far as the extent of the proximal and distal diseased aortic tissue resection is concerned. Aortic root replacement is associated with good early- and long-term outcomes and proffered solution in young and stable patients, for that reason many busy centres are endorsing total arch replacement in complex distal aortic dissections. This systemic review is discussing contemporary literature and associated pros and cons during surgical decision-making for these high-risk cases. 2022 reseña 0102-7638 https://www.redalyc.org/articulo.oa?id=398973636019 https://www.redalyc.org/journal/3989/398973636019/ https://www.redalyc.org/journal/3989/398973636019/html/ https://www.redalyc.org/journal/3989/398973636019/398973636019.epub https://www.redalyc.org/journal/3989/398973636019/movil 10.21470/1678-9741-2021-0178 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.37 |
| format | Artículo científico |
| id | redalyc_398973636019 |
| institution | Redalyc |
| language | en |
| publishDate | 2022 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| spellingShingle | Aortic Root and Distal Arch Management During Type A Aortic Dissection Repair: Expanding Horizons Kaushalendra Rathore Medicina Aorta Angina Decision Perfusion Dissecting Aneurysm Aortic Root and Distal Arch Management During Type A Aortic Dissection Repair: Expanding Horizons Kaushalendra Rathore Mark Newman Medicina Aorta Angina Decision Perfusion Dissecting Aneurysm The management of Type A aortic dissection has evolved over a period of a decade or so, and contemporary reports are suggesting a paradigm shift from a conservative approach to complete excision of the diseased aorta including root and distal arch. Improved cardiopulmonary bypass perfusion techniques, better understanding of the cerebral perfusion, and wide-ranging obtainability of prosthetic conduits gave surgical teams numerous choices. With improving outcomes and maturing surgical techniques, surgeons are performing extensive resections of the diseased aorta, but there is no standard protocol as far as the extent of the proximal and distal diseased aortic tissue resection is concerned. Aortic root replacement is associated with good early- and long-term outcomes and proffered solution in young and stable patients, for that reason many busy centres are endorsing total arch replacement in complex distal aortic dissections. This systemic review is discussing contemporary literature and associated pros and cons during surgical decision-making for these high-risk cases. 2022 reseña 0102-7638 https://www.redalyc.org/articulo.oa?id=398973636019 https://www.redalyc.org/journal/3989/398973636019/ https://www.redalyc.org/journal/3989/398973636019/html/ https://www.redalyc.org/journal/3989/398973636019/398973636019.epub https://www.redalyc.org/journal/3989/398973636019/movil 10.21470/1678-9741-2021-0178 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.6 Vol.37 |
| title | Aortic Root and Distal Arch Management During Type A Aortic Dissection Repair: Expanding Horizons |
| topic | Medicina Aorta Angina Decision Perfusion Dissecting Aneurysm |
| url | https://www.redalyc.org/articulo.oa?id=398973636019 https://www.redalyc.org/journal/3989/398973636019/ https://www.redalyc.org/journal/3989/398973636019/html/ https://www.redalyc.org/journal/3989/398973636019/398973636019.epub https://www.redalyc.org/journal/3989/398973636019/movil |