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Acute aortic dissections with entry tear in the arch: A report from the International Registry of Acute Aortic Dissection  Santi Trimarchi, MD, PhD, Hector.

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Presentation on theme: "Acute aortic dissections with entry tear in the arch: A report from the International Registry of Acute Aortic Dissection  Santi Trimarchi, MD, PhD, Hector."— Presentation transcript:

1 Acute aortic dissections with entry tear in the arch: A report from the International Registry of Acute Aortic Dissection  Santi Trimarchi, MD, PhD, Hector W.L. de Beaufort, MD, Jip L. Tolenaar, MD, PhD, Joseph E. Bavaria, MD, Nimesh D. Desai, MD, PhD, Marco Di Eusanio, MD, PhD, Roberto Di Bartolomeo, MD, Mark D. Peterson, MD, PhD, Marek Ehrlich, MD, Arturo Evangelista, MD, Daniel G. Montgomery, BS, Truls Myrmel, MD, PhD, G. Chad Hughes, MD, Jehangir J. Appoo, MD, Carlo De Vincentiis, MD, Tristan D. Yan, MD, PhD, Christoph A. Nienaber, MD, PhD, Eric M. Isselbacher, MD, G. Michael Deeb, MD, Thomas G. Gleason, MD, Himanshu J. Patel, MD, Thoralf M. Sundt, MD, Kim A. Eagle, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 157, Issue 1, Pages (January 2019) DOI: /j.jtcvs Copyright © Terms and Conditions

2 The Journal of Thoracic and Cardiovascular Surgery 2019 157, 66-73DOI: (10.1016/j.jtcvs.2018.07.101)
Copyright © Terms and Conditions

3 Figure 1 Acute aortic dissection with primary entry tear in the arch and retrograde extension into the ascending aorta, with or without extension into the descending aorta (arch A group, 1) or no ascending involvement and antegrade extension into the descending aorta or further distally (arch B group, 2). The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

4 Figure 2 Computed tomography angiography scan of a patient with acute aortic dissection and primary entry tear between the innominate artery and the left common carotid artery with retrograde extension of dissection into the ascending aorta and antegrade extension into the descending aorta (arch A). The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

5 Figure 3 Computed tomography angiography scan of a patient with acute aortic dissection and primary entry tear between the origin of the innominate artery and the left common carotid artery and no ascending involvement (arch B). The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

6 Figure 4 Flow chart describing numerically the number of patients excluded for each reason. *In some patients, there was more than 1 reason for exclusion. The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

7 Figure 5 Management of acute aortic dissections with primary entry tear in the arch. The remaining 2.7% of patients in group 1 and 5.0% in group 2 were treated with hybrid surgical/endovascular methods. The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

8 Figure 6 In-hospital mortality. Overall and by management type of acute aortic dissections with primary entry tear in the arch. The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

9 Figure 7 Classification, management, and in-hospital mortality of acute aortic dissections with primary entry tear in the arch. The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

10 Classification, management, and in-hospital mortality of acute aortic dissections with primary entry tear in the arch. The Journal of Thoracic and Cardiovascular Surgery  , 66-73DOI: ( /j.jtcvs ) Copyright © Terms and Conditions

11 The Journal of Thoracic and Cardiovascular Surgery 2019 157, 66-73DOI: (10.1016/j.jtcvs.2018.07.101)
Copyright © Terms and Conditions

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