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Is acute type A aortic dissection A true surgical emergency?

2002; Elsevier BV; Volume: 15; Issue: 2 Linguagem: Inglês

10.1053/svas.2002.33093

1558-4518

Anthony L. Estrera, Tam T. Huynh, Eyal Porat, Charles C. Miller, J. Joshua Smith, Hazim J. Safi,

Cardiac Valve Diseases and Treatments

Untreated acute aortic dissection involving the ascending aorta (type A) is associated with a high early mortality owing to rupture. Despite advancements in surgical technique and critical care, early mortality remains high. Operative mortality may be related to the technical challenges associated with intervening on the acutely dissected aorta as well as the multiorgan insult it induces. In this article, we review our approach to acute type A aortic dissection with regard to diagnosis, initial medical management, surgical repair, and timing of repair.