Risk analysis and improvement of strategies in patients who have acute type A aortic dissection with coronary artery dissection

Imoto, Kiyotaka; Uchida, Keiji; Karube, Norihisa; Yasutsune, Toru; Cho, Tonoki; Kimura, Kazuo; Masuda, Munetaka; Morita, Satoshi

doi:10.1093/ejcts/ezt060

Cited by 83 publications

(65 citation statements)

References 12 publications

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“…In this analysis of 360 consecutive patients who had AAD, the overall hospital mortality rate was 21.4%, which was within the range (between 20% and 30%) obtained from other recent single-centre studies (39,40). In our study, 22 of our patients (30.1%) were exitus.…”

Section: Discussionsupporting

confidence: 84%

Analysis of Patients Who Applied to Our Clinic with Aortic Dissection: A Five-year Experience

Burçin¹,

Karakaya²,

Yavaş³

et al. 2017

meandros

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Objective: Although acute aort dissection (AAD) is quite difficult to be diagnosed in the emergency department, the mortality of it is very high. Therefore, the purpose of our study is to discuss the evidence of demographic characteristics, clinical, laboratory of the AAD patients who applied to emergency department over mortality. MaterialsandMethods: In our research including 73 patients with AAD diagnosed whom admitted to emergency department on January 2010-October 2015. Sex, age, presenting complaints, past medical history, arterial blood pressure, pulse, laboratory tests, transthoracic echocardiography (TTE), thoracoabdominal computerized tomography (CT), mortality and DeBakey type have been recorded on patient information form. Statistical analysis was performed in IBM SPSS Statistics Version 22.0 software package. The comparison between the two groups of data Pearson chi-square, Fisher's exact and chi-square tests were used for statistical analysis of trends. P<0.05 was considered statistically significant. Results: Fourty seven patients (64.4%) were male and 26 (35.6%) were women. In the background of the patients it was identified hypertension as the most common rate of 68.5%. The most common complaints identified were chest pain (53.4%) and back pain (42.5%). It has been determined 68 (93.1%) patients to whom CT have scanned and 27 out of 42 (64.3%) patients to whom TTE have scanned were found to have AAD. According to the DeBakey classification, 31 (42.5%) were DeBakey type 1, 18 (24.7%) DeBakey type 2 and 24 (32.9%) DeBakey type 3 as the AAD. Conclusion: Aortic dissection is still a highly mortality disease. The most important condition to reduce the mortality was thought the early diagnosis and the appropriate surgical intervention.Amaç: Akut aort diseksiyonu (AAD) acil serviste tanısı oldukça zor konulmasına rağmen mortalitesi çok yüksek bir hastalıktır. Bu nedenle, acil tıp kliniğine başvuran AAD tanılı hastaların demografik özellikleri, klinik, laboratuvar ve radyolojik bulgularının mortalite üzerine etkilerini araştırmayı amaçladık. Gereç ve Yöntemler: Çalışmamızda Ocak 2010 ile Ekim 2015 tarihleri arasında acil tıp kliniğinde AAD tanısı konulan ve çalışmaya dahil edilen 73 hasta geriye dönük incelendi. Yaş, cinsiyet, başvuru şikayetleri, özgeçmişleri, arteriyel kan basınçları, nabız sayısı, istenilen laboratuvar tetkikleri, transtorasik ekokardiyografi (TTE), kontrastlı torakoabdominal bilgisayarlı tomografi (BT) mortalite ve diseksiyon tipi

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Section: Discussionsupporting

confidence: 84%

Analysis of Patients Who Applied to Our Clinic with Aortic Dissection: A Five-year Experience

Burçin¹,

Karakaya²,

Yavaş³

et al. 2017

meandros

View full text Add to dashboard Cite

show abstract

“…Although aortic dissection involving the left coronary artery occurs less frequently than aortic dissection involving the right coronary artery, it is more frequently lethal and more urgent [4][5][6][7]9) .…”

Section: Discussionmentioning

confidence: 99%

Acute Type A Aortic Dissection Involving Malperfusion of Bilateral Coronary Arteries

et al. 2017

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“…Myocardial ischemia attributable to coronary artery involvement is observed in 5.7 -11.3% of patients with type A AAD at the time of diagnosis, due to compression of the coronary ostium by a hematoma or its occlusion by an intimal flap 6 . The localization in our patient is also unusual, with few reports of AAD-related LMCA involvement in the literature, most frequently in patients who develop heart failure from left ventricular dysfunction or who do not survive 7,8 .…”

Section: Sdrp Journal Of Anesthesia and Surgerymentioning

confidence: 99%

“…However, this surgery is not always feasible, and the present results confirm that PCI is a viable alternative to conventional surgical treatment. Some data have been published on the utilization of PCI, angioplasty, and stent implantation to facilitate early coronary revascularization and reduce myocardial damage in cases of AAD with coronary dissection 6 . However, the evidence is limited to case reports, and the effectiveness of this approach has not been verified in a clinical trial.…”

Section: Sdrp Journal Of Anesthesia and Surgerymentioning

confidence: 99%

Percutaneous coronary intervention in critical occlusion of the left main coronary artery after acute aortic dissectio

2017

SDRP-JAS

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Risk analysis and improvement of strategies in patients who have acute type A aortic dissection with coronary artery dissection

Cited by 83 publications

References 12 publications

Analysis of Patients Who Applied to Our Clinic with Aortic Dissection: A Five-year Experience

Analysis of Patients Who Applied to Our Clinic with Aortic Dissection: A Five-year Experience

Acute Type A Aortic Dissection Involving Malperfusion of Bilateral Coronary Arteries

Percutaneous coronary intervention in critical occlusion of the left main coronary artery after acute aortic dissectio

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