Type A Acute Aortic Dissection in Nonagenarian: Rare but Possible

Acute type A aortic dissection (TA-AAD) is a highly lethal clinical entity that can occur within a wide age range, associated with multiple aetiologies and various clinical presentations. In the very elderly type A aortic dissection frequently presents with non-specific symptoms and signs and is associated with high mortality and morbidity. Thus the clinician must have a high index of clinical suspicion in order to prompt the most appropriate diagnostic-therapeutic strategy.We report a nonagenarian women with TA-AAD, treated successfully with medical therapy.

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Surgical Treatment of Acute Type A Aortic Dissection with 18-Litre Bleeding

Aorta ◽

10.1055/s-0041-1722897 ◽

2021 ◽

Vol 09 (01) ◽

pp. 030-032

Author(s):

Sergey Y. Boldyrev ◽

Kirill O. Barbukhatty ◽

Vladimir A. Porhanov

Keyword(s):

Surgical Treatment ◽

Aortic Dissection ◽

Acute Aortic Dissection ◽

Type A ◽

Type I ◽

Acute Type ◽

Drug Induced ◽

Type A Aortic Dissection ◽

Mortality And Morbidity ◽

Perioperative Bleeding

AbstractSurgical treatment of Type-A acute aortic dissection is associated with high mortality and morbidity. One of the reasons is perioperative bleeding, which may lead to worse outcomes. We present a case of successful treatment of a patient with 18-litre perioperative blood loss in DeBakey Type-I acute aortic dissection with drug-induced hypocoagulation and malperfusion of a lower extremity.

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Surgical techniques in acute Type A aortic dissection: How we do it

Asian Cardiovascular and Thoracic Annals ◽

10.1177/02184923211059737 ◽

2021 ◽

pp. 021849232110597

Author(s):

Bashi Velayudhan ◽

Mohammed Ibrahim ◽

Mohammed Idhrees

Keyword(s):

Aortic Dissection ◽

High Mortality ◽

Surgical Techniques ◽

Type A ◽

Acute Type ◽

Type A Aortic Dissection ◽

Mortality And Morbidity ◽

Surgical Emergency

Acute Type A aortic dissection (ATAAD), a surgical emergency, has high mortality and morbidity. More than half of the patients dies within 2 weeks and the 30-day mortality is 90%. Here we describe our technique of ATAAD repair.

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Plaster technique for filling up a future entry at the suture hole in type A aortic dissection

10.22541/au.162515097.71512359/v1 ◽

2021 ◽

Author(s):

Shinichi Ishida ◽

Masato Mutsuga ◽

Takashi Fujita ◽

Kei Yagami

Keyword(s):

Aortic Dissection ◽

Type A ◽

Suture Line ◽

Acute Type ◽

The Novel ◽

Perioperative Mortality ◽

Type A Aortic Dissection ◽

Mortality And Morbidity ◽

Minimum Dose ◽

Interrupted Suture

Although the surgical technique for acute type A aortic dissection markedly improved in the last decade, perioperative mortality and morbidity rates remain dramatically high. Therefore, we introduce the novel “plaster technique” using the single interrupted suture with a felt and plastering the minimum dose of BioGlue® (Cryolife Inc., Kennesaw, GA, USA) into the suture hole in this report. We found that the plaster technique using a felt pledget and minimum dose of BioGlue is effective for fragile aortic walls, as in patients undergoing acute aortic dissection and is a simple, safe, and durable technique to strengthen the suture line.

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