Imaging surveillance for complications after primary surgery for type A aortic dissection.
Humans
Aortic Aneurysm, Thoracic
/ diagnostic imaging
Aortic Dissection
/ diagnostic imaging
Aorta
/ surgery
Aortic Valve
/ surgery
Aortic Rupture
Treatment Outcome
Acute Disease
Retrospective Studies
Blood Vessel Prosthesis Implantation
/ adverse effects
Postoperative Complications
/ diagnostic imaging
aneurysm, dissecting
aortic diseases
cardiac imaging techniques
computed tomography angiography
echocardiography
Journal
Heart (British Cardiac Society)
ISSN: 1468-201X
Titre abrégé: Heart
Pays: England
ID NLM: 9602087
Informations de publication
Date de publication:
22 12 2022
22 12 2022
Historique:
received:
22
01
2022
accepted:
03
03
2022
pubmed:
25
3
2022
medline:
27
12
2022
entrez:
24
3
2022
Statut:
epublish
Résumé
Acute type A aortic dissection (ATAAD) is a life-threatening condition that requires emergency surgery to avert fatal outcome. Conventional surgical procedures comprise excision of the entry tear and replacement of the proximal aorta with a synthetic vascular graft. In patients with DeBakey type I dissection, this approach leaves a chronically dissected distal aorta, putting them at risk for progressive dilatation, dissection propagation and aortic rupture. Therefore, ATAAD survivors should undergo serial imaging for evaluation of the aortic valve, proximal and distal anastomoses, and the aortic segments beyond the distal anastomosis. The current narrative review aims to describe potential complications in the early and late phases after ATAAD surgery, with focus on their specific imaging findings.
Identifiants
pubmed: 35321890
pii: heartjnl-2022-320881
doi: 10.1136/heartjnl-2022-320881
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
96-101Informations de copyright
© Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.