Editors: Ying-Fu Chen, Chwan-Yau Luo, Dominique Shum-Tim

Recent Advances in Acute Type A Aortic Dissection

eBook: US $149 Special Offer (PDF + Printed Copy): US $268
Printed Copy: US $194
Library License: US $596
ISBN: 978-1-68108-089-5 (Print)
ISBN: 978-1-68108-088-8 (Online)
Year of Publication: 2015
DOI: 10.2174/97816810808881150101

Introduction

Type A acute aortic dissection (TAAAD) is an acute cardiovascular condition that is normally associated with genetic conditions such as Marfan Syndrome, but it can also occur in patients with no known predisposing risk factors. TAAD is associated with extremely high mortality (over 20% of documented cases in medical literature) if not addressed on time. Surgical management of TAAAD also varies tremendously depending on the causative pathology. Techniques to manage TAAAD cover the entire spectrum of methods employed in cardiac surgery ranging from a simple replacement of the ascending aorta to aortic root sparing or replacement, and an aortocoronary bypass to total arch and descending aortic stenting involving hypothermic circulatory arrest or other cerebral protection strategies. New medical evidence suggests that concomitant, intraoperative management of the arch and descending aorta minimizes the need for subsequent surgeries in patients who are operated upon for TAAAD. Coupled with new diagnostic technology available to medical professionals, better long-term patient outcomes for TAAD treatment are now a reality.

Recent Advances in Acute Type A Aortic Dissection presents a collection of comprehensive reviews from many experts on TAAAD. Cardiac surgeons can benefit from this volume by learning about current medical opinions and consensuses on risk factors (including genetic predisposition), diagnostic modalities, intraoperative management, surgical options, cerebral protection strategies, and long-term follow up procedures on acute TAAAD.

Preface

- Pp. i-ii (2)
Ying-Fu Chen, Chwan-Yau Luo and Dominique Shum-Tim
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List of Contributors

- Pp. iii-v (3)
Ying-Fu Chen, Chwan-Yau Luo and Dominique Shum-Tim
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Introduction

- Pp. vii
Ying-Fu Chen
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Epidemiology of Acute Type A Aortic Dissection

- Pp. 3-29 (27)
Wen-Huang Li and Ping-Yen Liu

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Pathophysiology and Risk Factors of Type A Acute Aortic Dissection

- Pp. 31-50 (20)
Yi-Heng Li and Chwan-Yau Luo

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Marfan Syndrome and Marfan-like Disorders

- Pp. 51-68 (18)
Alice Le Huu and Dominique Shum-Tim

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Contemporary Diagnostic Modalities for Acute Type A Aortic Dissection

- Pp. 69-99 (31)
Shawn Pun, Genevieve Belley and Thao Huynh

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Management Options for Acute Type A Aortic Dissection Complicated with Malperfusion Syndrome: Operative Delay or Immediate Repair?

- Pp. 101-122 (22)
Li Zhang, François Dagenais and Siamak Mohammadi

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Acute Type A Aortic Dissection Associated with Acute Coronary Involvement --- with or without Coronary Malperfusion

- Pp. 123-152 (30)
Chih-Wei Chen, Tsu-Ming Chien, Huai-Ming Chen, Hui-Chen Yu, Chun-Chen Chen and Ying-Fu Chen

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Optimal and Safe Cannulation for Repairing Acute Ascending Aortic Dissection

- Pp. 153-172 (20)
Huai-Min Chen and Ying-Fu Chen

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Brain Protection During Repair for Acute Type A Aortic Dissection

- Pp. 173-210 (38)
Meng-Ta Tsai and Chwan-Yau Luo

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Therapeutic Strategies for Repairing Acute Aortic Dissection Involving the Aortic Root

- Pp. 211-226 (16)
Xin Chen and Fuhua Huang

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Valve-Sparing Root Replacement in Marfan Syndrome with Acute Type A Aortic Dissection

- Pp. 227-247 (21)
Osama Benhameid, Dimitri Kalavrouziotis and Siamak Mohammadi

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Is Emergency Total Arch Replacement with an Open Stent Graft Justified for Acute Type A Aortic Dissection?

- Pp. 249-263 (15)
Li-Zhong Sun and Rui-Dong Qi

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Risk Factor Analysis of Surgical and Long-term Results in Patients with Acute Type A Aortic Dissection

- Pp. 265-285 (21)
Jun-Neng Roan, Hsuan-Yin Wu and Chwan-Yau Luo

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Acute Type A Dissection in the Octogenarian

- Pp. 287-297 (11)
Jennifer Chung and Dominique Shum-Tim

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Effects of False Lumen Patency on the Residual Dissected Thoracic Aorta after Repair of Acute Type A Aortic Dissection

- Pp. 299-318 (20)
Meng-Ta Tsai, Yi-Shan Tsai and Chwan-Yau Luo

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Strategies for Distal Aortic Reintervention after Repaired Acute Ascending Aortic Dissection

- Pp. 319-336 (18)
Simon Neequaye and Cherrie Abraham

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Clinical Presentation, Diagnosis, and Management of Type A Aortic Intramural Hematoma: Update, Controversies, and Unknowns

- Pp. 337-351 (15)
Rony Atoui and Chris S. Malaisrie

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Subject Index

- Pp. 353-358 (6)
Ying-Fu Chen, Chwan-Yau Luo and Dominique Shum-Tim
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