Key result
Prompt diagnosis and management using intraoperative trans-esophageal echocardiography and/or epi-aortic ultrasound has been shown to reduce mortality of intraoperative Type A aortic dissection to 17%.
Case Report (n=1)
Prompt diagnosis and management using intraoperative imaging can reduce the high mortality associated with intraoperative acute Type A aortic dissection.
Answers are grounded in this paper and cite their sources.
Supports intraoperative imaging in aortic surgery; leaves open prospective validation of mortality benefit.
Intraoperative Type A aortic dissection is a rare pathology with incidence of 0.06-0.32%. It is associated with a high mortality between 30-50%. Some associated risk factors, including hypertension, enlarged aorta, peripheral vascular disease, advanced age, atheroma, and high arterial pressure on cardiopulmonary bypass, have been identified. Modification of these risk factors could reduce the incidence of this event. Prompt diagnosis and management, with the aid of intraoperative trans-esophageal echocardiography and/or epi-aortic ultrasound has been shown to reduce the mortality to 17%. We illustrate the principles of management of this pathology with the case of a 62-year-old female who developed acute Type A aortic dissection while undergoing minimally invasive mitral valve repair.
No takes yet. Share an insight, caveat, or question.
Gukop et al. (2015) conducted a case report in Intraoperative Type A aortic dissection (n=1). Prompt diagnosis and management with intraoperative trans-esophageal echocardiography and/or epi-aortic ultrasound was evaluated. Prompt diagnosis and management using intraoperative trans-esophageal echocardiography and/or epi-aortic ultrasound has been shown to reduce mortality of intraoperative Type A aortic dissection to 17%.
Synapse has enriched 10 related papers. Consider them for comparative context: