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Acute Type A Aortic Dissection: When Not to Operate

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Aortic Dissection and Acute Aortic Syndromes

Abstract

Acute type A aortic dissection (ATAAD) is a surgical emergency which carries an operative mortality of 10–30% in multiple series, a rate which has not decreased meaningfully over the past 15 years. This lack of improvement in outcomes over time has prompted increasing investigation into identification of risks of mortality in ATAAD with and without repair. In this chapter, we review contemporary approaches to risk stratification of ATAAD patients with a focus on when to delay or defer central aortic repair.

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Authors and Affiliations

  1. Division of Cardiac Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Ashraf A. Sabe

  2. Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC, USA

    Ryan P. Plichta

  3. Center for Aortic Disease, Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC, USA

    G. Chad Hughes

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  1. Ashraf A. Sabe
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  2. Ryan P. Plichta
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  3. G. Chad Hughes
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Correspondence to G. Chad Hughes .

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Editors and Affiliations

  1. Rhode Island Hospital, Brown University, Providence, RI, USA

    Frank W. Sellke

  2. Department of Surgery, Baylor College of Medicine, Houston, USA

    Joseph S. Coselli

  3. Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA

    Thoralf M. Sundt

  4. Perelman Center for Advanced Medicine, University of Pennsylvania, Philadelphia, PA, USA

    Joseph E. Bavaria

  5. Thoracic Cardiothoracic Surgery, Rhode Island Hospital and Alpert Medical School of Brown University, Providence, RI, USA

    Neel R. Sodha

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Sabe, A.A., Plichta, R.P., Hughes, G.C. (2021). Acute Type A Aortic Dissection: When Not to Operate. In: Sellke, F.W., Coselli, J.S., Sundt, T.M., Bavaria, J.E., Sodha, N.R. (eds) Aortic Dissection and Acute Aortic Syndromes. Springer, Cham. https://doi.org/10.1007/978-3-030-66668-2_36

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