Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Surgery for acute type A aortic dissection.

T E David1, S Armstrong, J Ivanov

  • 1Division of Cardiovascular Surgery, Toronto General Hospital, University of Toronto, Ontario, Canada.

The Annals of Thoracic Surgery
|July 3, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Beyond BRCA: Genetic testing for gynaecological cancers in South Africa.

South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde·2026
Same author

Black Hole Spectroscopy and Tests of General Relativity with GW250114.

Physical review letters·2026
Same author

GW250114: Testing Hawking's Area Law and the Kerr Nature of Black Holes.

Physical review letters·2025
Same author

Treatment Outcomes of Stereotactic Ablative Body Radiotherapy on Extra-cranial Oligometastatic and Oligoprogressive Breast Cancer: Mature Results from a Single Institution Experience.

Clinical oncology (Royal College of Radiologists (Great Britain))·2024
Same author

RENEB Inter-Laboratory Comparison 2021: Inter-Assay Comparison of Eight Dosimetry Assays.

Radiation research·2023
Same author

Evaluation of the Efficacy of Doxycycline, Ciprofloxacin, Levofloxacin, and Co-trimoxazole Using <i>In Vitro</i> and <i>In Vivo</i> Models of Q Fever.

Antimicrobial agents and chemotherapy·2021
Same journal

Does prior percutaneous coronary revascularization negatively affect the outcomes of subsequent coronary artery bypass grafting?

The Annals of thoracic surgery·2026
Same journal

Lymph Node Dissection and Chylothorax - Balancing Oncologic Benefit Against Morbidity.

The Annals of thoracic surgery·2026
Same journal

Preserved Antegrade Pulmonary Blood Flow in Bidirectional Glenn: Outcomes and Considerations for Staged Palliation.

The Annals of thoracic surgery·2026
Same journal

Domo Arigato, Mr. Roboto.

The Annals of thoracic surgery·2026
Same journal

Impact of High SUVmax on Recurrence by Resection Strategy in Stage IA Adenocarcinoma ≤2 cm.

The Annals of thoracic surgery·2026
Same journal

Preoperative Treatment for Stage II NSCLC Requires Multidimensional Consideration.

The Annals of thoracic surgery·2026
See all related articles

Surgical techniques avoiding aortic clamping and using antegrade perfusion for acute type A aortic dissection improve patient survival and reduce complications. This approach enhances early and late outcomes in patients undergoing this critical procedure.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Acute type A aortic dissection presents significant surgical challenges.
  • Innovative surgical techniques are being developed to improve patient outcomes.

Purpose of the Study:

  • To evaluate the impact of novel surgical strategies on early and late outcomes in patients with acute type A aortic dissection.
  • Compare outcomes between aortic clamping with retrograde perfusion versus no-clamp techniques with antegrade perfusion.

Main Methods:

  • Retrospective review of 109 patients with acute type A aortic dissection over 18 years.
  • Group I (n=55): Aortic clamping with retrograde femoral artery perfusion.
  • Group II (n=54): No aortic clamping, primary tear resection, antegrade perfusion after distal anastomosis.

Related Experiment Videos

Main Results:

  • Group II showed a trend towards lower operative mortality (9.2% vs 20%) and significantly fewer strokes (3.7% vs 14.5%).
  • Long-term survival was higher in Group II (81% vs 56%), though not statistically significant.
  • Patent false lumen rates were significantly lower in Group II (59% vs 91%).

Conclusions:

  • Avoiding aortic clamping and employing antegrade perfusion improves early and late outcomes for acute type A aortic dissection.
  • Resection of the primary tear is crucial in these advanced surgical techniques.
  • These findings support the adoption of no-clamp strategies in managing acute type A aortic dissection.