Key result
Emergent David-I root replacement for acute type A aortic dissection shows ~13% perioperative mortality.
Case Report (n=133)
No
This clinical vignette describes the presentation and surgical management (David-I procedure) of a 50-year-old male with acute type A aortic dissection.
Supports valve-sparing root replacement plus FET in select young AADA patients with malperfusion; leaves open durability and generalizability pending larger series.
Clinical vignetteA fifty-year-old male patient presented with sudden acute chest pain and right lower leg pain to a regional hospital.He underwent thrombectomy of the right iliac artery by the local vascular surgeon.However, pain persisted and a subsequent computed tomography (CT) angiogram of the chest and abdomen was performed.The CT scan showed acute aortic dissection type A (AADA, DeBakey type I) with collapse of the true lumen in the descending aorta.The patient was then immediately transferred to our hospital.
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Beckmann et al. (2023) conducted a case report in Acute aortic dissection type A (n=133). Valve-sparing aortic root replacement (David-I procedure) was evaluated on Perioperative mortality. Emergent valve-sparing aortic root replacement (David-I) for acute type A aortic dissection resulted in a perioperative mortality of 12.8% and 15-year survival of 66%.
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