Acute Aortic Syndrome - Distal Ascending Aorta/Arch - Ulcer vs. Hematoma vs. Local Dissection
Author: John Hermsen, MD; Edward Verrier, MD
Institution: University of Washington
Date Reviewed: September 2014
Learning Domain: Adult Cardiac Surgery
Learning Objective: Great Vessel Surgery
PowerPoint File: Acute Aortic Syndrome - Distal Ascending Aorta/Arch - Ulcer vs. Hematoma vs. Local Dissection
Discussion points for Conference
- Diagnosis of Acute Aortic Syndromes
- Why so difficult?
- Timing of Intervention
- Same emergency as Type A Dissection?
- Operative options
- Arch
- ? Hemiarch
- ? Full Arch with Elephant Trunk
- Ascending Aorta
- Now / later / never
- Aortic Valve
- Preserve? Bentall? David?
- Arch
Learning Points
- Acute Aortic Syndromes
- Leading cause of Cardiovascular Malpractice cases
- Some overlap in syndromes
- Diagnosis can be challenging
- Therapeutic options must be individualized
- Underlying collagen vascular disease must be suspected in younger patients