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J Thorac Cardiovasc Surg 2008;135:229-230
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor

Heinz Jakob, MDa, Eva Assenmacher, MDb, Konstantinos Tsagakis, MDa, Ulf Herold, MDa

a Department of Thoracic and Cardiovascular Surgery, West German Heart Center Essen, University Hospital Essen, Essen, Germany
b Department of Anesthesiology, West German Heart Center Essen, University Hospital Essen, Essen, Germany

The first 20% of the full text of this article appears below.

We appreciate Dr Augoustides’ important and meaningful questions regarding brachiocephalic dissection and cerebral malperfusion in the surgical treatment of patients with acute type A aortic dissection.

To provide specific answers, we follow his questions as raised after specifying the baseline situation in our 8 patients: All patients came in with a computed tomographic scan diagnosis obtained elsewhere. Six patients demonstrated dissection of the brachiocephalic trunk, 2 of them hemodynamically in highly unstable condition with tamponade. In 2 patients, no dissection of the truncus was seen, but severe instability and cardiac tamponade was observed in 1 patient. Five patients . . . [Full Text of this Article]


Related Article

Ascending aortic cannulation in acute type A aortic dissection: Is intraoperative brachiocephalic malperfusion a possibility?
John G.T. Augoustides
J. Thorac. Cardiovasc. Surg. 2008 135: 229. [Extract] [Full Text] [PDF]





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