Open Aortic Dissection Repair

Summary

Aortic Dissection carries a very high mortality. Pt incrues a 1-2% per hour mortality in type A dissection.

Key Terms

Cannulation Strategy

• Right Axillary Artery Cannulation
  • Advantages:
    • Disadvantages:

  Etiology

  Pathophysiology

  HPI

  Physical Exam

  Diagnostics

  Aortic Imaging Techniques to Determine the Presence and Progression of Aortic Disease

  

  (A) Schematic shows the leading-edge to leading-edge measurement technique used in echocardiography, from left to right: measurement of the aortic root (sinuses of Valsalva), sinotubular junction, and proximal tubular ascending aorta.

  (B) Inner-wall to inner-wall measurements of the aortic root used in MRI and CT. In addition, a consistent approach to measuring all 3 sinuses with MRI and CT is necessary. The sinus-to-commissure and sinus-to-sinus measurements can both be used, but consistency is necessary for interval surveillance.

  (C) Standard measurement locations for MRI and CT with the inner-wall to inner-wall technique.

  Text/Image Source: Isselbacher EM, Preventza O, Hamilton Black J 3rd, et al. 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation. 2022;146(24):e334-e482. doi:10.1161/CIR.0000000000001106

  Treatment

  Referrals

  Case Study

  References

  • Guidelines
  • Meta-Analysis
  • RCTs