Aortic Regurgitation in Acute Type-A Aortic Dissection: A Clinical Classification for the Perioperative Echocardiographer in the Era of the Functional Aortic Annulus.
Publication/Presentation Date
2-1-2018
Abstract
The functional aortic annulus offers a clinical approach for the perioperative echocardiographer to classify the mechanisms of aortic regurgitation in acute type-A dissection. Comprehensive examination of the functional aortic annulus in this setting using transesophageal echocardiography can guide surgical therapy for the aortic root by considering the following important aspects: severity and mechanism of aortic regurgitation, extent of root dissection, and the pattern of coronary artery involvement. The final choice of surgical therapy also should take into account factors, such as patient presentation and surgical experience, to limit mortality and morbidity from this challenging acute aortic syndrome. This review explores these concepts in detail within the framework of the functional aortic annulus, detailed anatomic considerations, and the latest literature.
Volume
32
Issue
1
First Page
586
Last Page
597
ISSN
1532-8422
Published In/Presented At
Patel, P. A., Bavaria, J. E., Ghadimi, K., Gutsche, J. T., Vallabhajosyula, P., Ko, H. A., Desai, N. D., Mackay, E., Weiss, S. J., & Augoustides, J. G. T. (2018). Aortic Regurgitation in Acute Type-A Aortic Dissection: A Clinical Classification for the Perioperative Echocardiographer in the Era of the Functional Aortic Annulus. Journal of cardiothoracic and vascular anesthesia, 32(1), 586–597. https://doi.org/10.1053/j.jvca.2017.06.014
Disciplines
Medicine and Health Sciences
PubMedID
28927697
Department(s)
Department of Surgery
Document Type
Article