Spontaneous rupture of the ascending aorta

Mahmood, Syed Usman Bin; Ulrich, Andrew; Safdar, Basmah; Geirsson, Arnar; Mangi, Abeel A.

doi:10.1111/jocs.13535

Cited by 5 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our own protocol has proven to be very efficient for rapid triage and management of emergent aortic cases (dissection and rupture). 13 Although there were no major differences in the baseline characteristics or preoperative comorbid conditions between the two groups, there were some striking distinctions in the way these patients were managed. The AS group performed a significantly higher number of Bentall procedures than the non-AS group and also made relatively liberal use of adjunct cerebral perfusion.…”

Section: Discussionmentioning

confidence: 90%

Untitled

2019

Aorta

View full text Add to dashboard Cite

Objective In patients presenting with acute Type A aortic dissections (ATADs), the authors sought to evaluate whether emergent aortic operations performed by cardiac surgeons with different level of aortic surgery experience can impact perioperative outcomes and survival. Methods A single-center review of 102 patients who underwent aortic surgeries for ATAD was conducted. The cohort was divided into those operated on by aortic specialists (AS:3 surgeons) and non-AS (5 surgeons). Multivariable logistic regression and Cox proportional hazard models were fitted to evaluate associations between the surgeon experience, perioperative outcomes, and survival, respectively. Results Of 102 patients, 60 were operated on by AS and 42 were operated on by non-AS. Overall 30-day mortality was 11 (10.8%) with 4 (6.6%) perioperative deaths in the AS group and 7 (16.6%) among the non-AS group (p ¼ 0.2). AS performed a significantly higher number of root replacement procedures (41.6% vs. 23.8%, respectively, p ¼ 0.049) and employed more frequent adjunct cerebral perfusion during circulatory arrest (p ¼ 0.003). Survival analysis indicated AS status was an independent predictor of improved 2-year survival (hazard ratio: 0.37, 95% confidence interval: 0.15-0.92, p ¼ 0.03). Conclusion Operation by AS for ATAD was associated with reduced adjusted risk of 2year mortality. This adds support for establishing thoracic aortic emergency call teams staffed by AS.

show abstract

Section: Discussionmentioning

confidence: 90%

Untitled

2019

Aorta

View full text Add to dashboard Cite

show abstract

“…Our own protocol has proven to be very efficient for rapid triage and management of emergent aortic cases (dissection and rupture). 13…”

Section: Discussionmentioning

confidence: 99%

Acute Type A Aortic Dissection Surgery Performed by Aortic Specialists Improves 2-Year Outcomes

Mahmood

Mori

Geirsson

et al. 2019

Aorta

Self Cite

View full text Add to dashboard Cite

Objective In patients presenting with acute Type A aortic dissections (ATADs), the authors sought to evaluate whether emergent aortic operations performed by cardiac surgeons with different level of aortic surgery experience can impact perioperative outcomes and survival. Methods A single-center review of 102 patients who underwent aortic surgeries for ATAD was conducted. The cohort was divided into those operated on by aortic specialists (AS:3 surgeons) and non-AS (5 surgeons). Multivariable logistic regression and Cox proportional hazard models were fitted to evaluate associations between the surgeon experience, perioperative outcomes, and survival, respectively. Results Of 102 patients, 60 were operated on by AS and 42 were operated on by non-AS. Overall 30-day mortality was 11 (10.8%) with 4 (6.6%) perioperative deaths in the AS group and 7 (16.6%) among the non-AS group (p = 0.2). AS performed a significantly higher number of root replacement procedures (41.6% vs. 23.8%, respectively, p = 0.049) and employed more frequent adjunct cerebral perfusion during circulatory arrest (p = 0.003). Survival analysis indicated AS status was an independent predictor of improved 2-year survival (hazard ratio: 0.37, 95% confidence interval: 0.15–0.92, p = 0.03). Conclusion Operation by AS for ATAD was associated with reduced adjusted risk of 2-year mortality. This adds support for establishing thoracic aortic emergency call teams staffed by AS.

show abstract

“…1 Spontaneous rupture occurs at median diameter of 4.3 cm. 2 In addition, it is difficult to detect this entity on imaging modalities because it does not show specific imaging findings. 3,4 We, herein, present a case of spontaneous contained rupture of nonaneurysmal ascending aorta associated with coronary artery disease (CAD).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous contained rupture of the nonaneurysmal ascending aorta: Diagnostic importance of pericardial effusion

Fukunaga

Cusimano

2020

J Card Surg

View full text Add to dashboard Cite

A 58‐year‐old man with a history of hypertension, dyslipidemia, and an obtuse marginal branch coronary stent developed the sudden onset of chest pain. A contrast computed tomography demonstrated a penetrating ulcer of nondilating ascending aorta and a small pericardial effusion. Coronary angiography showed three‐vessel disease. At emergency surgery, there was blood in the pericardial sac and the whole of the ascending aorta had hematoma with no evidence of tamponade. We performed a hemiarch replacement under circulatory arrest and concomitant coronary artery bypass grafting. The left side of the proximal arch had ruptured just beyond the pericardial reflection.

show abstract

Spontaneous rupture of the ascending aorta

Abstract: In patients with ascending aortic rupture, aortic diameter may not always correlate with the risk of rupture. Rapid diagnosis combined with a multidisciplinary approach is vital for the successful management of these high-risk patients.

Cited by 5 publications

References 14 publications

Untitled

Untitled

Acute Type A Aortic Dissection Surgery Performed by Aortic Specialists Improves 2-Year Outcomes

Spontaneous contained rupture of the nonaneurysmal ascending aorta: Diagnostic importance of pericardial effusion

Contact Info

Product

Resources

About