Acute Stanford Type A Aortic Dissection: A Review of Risk Factors and Outcomes
- PMID: 37077590
- PMCID: PMC10108894
- DOI: 10.7759/cureus.36301
Acute Stanford Type A Aortic Dissection: A Review of Risk Factors and Outcomes
Abstract
Acute aortic dissection (AAD) can be said to be a relatively uncommon emergency with fatal outcomes mainly due to delayed/missed diagnosis and treatment. Its ability to masquerade as other emergencies like acute coronary syndrome and pulmonary embolism makes the prognosis unfavorable in a significant proportion of patients. Patients have been seen to present to the accident and emergency department or outpatient setting with typical or atypical symptoms as we will discuss in this article. We have focused on indicators for risk and prognosis of acute Stanford type A aortic dissection in this traditional review. It is well known that despite recent developments and improvements in treatment modalities, AAD is still associated with a significant mortality rate and postoperative complications.
Keywords: acute type a dissection; aorta repair; complications of aortic dissection; outcomes; risk factors; stanford type a acute aortic dissection.
Copyright © 2023, Chukwu et al.
Conflict of interest statement
The authors have declared that no competing interests exist.
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References
-
- Acute type A aortic dissection - a review. Gudbjartsson T, Ahlsson A, Geirsson A, et al. https://pubmed.ncbi.nlm.nih.gov/31542960/ Scand Cardiovasc J. 2020;54:1–13. - PubMed
-
- Hemiarch versus total aortic arch replacement in acute type A dissection: a systematic review and meta-analysis. Poon SS, Theologou T, Harrington D, Kuduvalli M, Oo A, Field M. https://pubmed.ncbi.nlm.nih.gov/27386403/ Ann Cardiothorac Surg. 2016;5:156–173. - PMC - PubMed
-
- Risk factors for postoperative mortality in patients with acute Stanford type A aortic dissection . Huo Y, Zhang H, Li B, et al. https://doi.org/10.2147/IJGM.S330325. Int J Gen Med. 2021;14:7007–7015. - PMC - PubMed
-
- Hypothermic circulatory arrest time affects neurological outcomes of frozen elephant trunk for acute type A aortic dissection: a systematic review and meta-analysis. Mousavizadeh M, Daliri M, Aljadayel HA, Mohammed I, Rezaei Y, Bashir M, Hosseini S. https://pubmed.ncbi.nlm.nih.gov/34125453/ J Card Surg. 2021;36:3337–3351. - PubMed
-
- Acute type A aortic dissection confounded by aberrant symptoms . Anuforo AC, Adhikari S, Olojakpoke EH, Aiello D. https://pubmed.ncbi.nlm.nih.gov/34790482/ Cureus. 2021;13:0. - PMC - PubMed
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