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Medical Treatment or Endovascular Stent-Graft Treatment for Acute Aortic Syndrome

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References

  1. von Kodolitsch Y, Aydin MA, Loose R, et al. Predictors of aneurysm formation after surgery of aortic coarctation. J Am Coll Cardiol 2002; 39:617–624.

    Article  Google Scholar 

  2. Ward C. Clinical significance of the bicuspid aortic valve. Heart 2000; 83:81–85.

    Article  PubMed  CAS  Google Scholar 

  3. Reed D, Reed C, Stemmermann G, Hayashi T. Are aortic aneurysms caused by atherosclerosis? Circulation 1992; 85:205–211.

    PubMed  CAS  Google Scholar 

  4. Stefanadis CI, Karayannacos PE, Boudoulas HK, et al. Medial necrosis and acute alterations in aortic distensibility following removal of the vasa vasorum of canine ascending aorta, Cardiovasc Res 1993; 27:951–956.

    PubMed  CAS  Google Scholar 

  5. Larson EW, Edwards WD. Risk factors for aortic dissection: a necropsy study of 161 cases, Am J Cardiol 1984; 53:849–855.

    Article  PubMed  CAS  Google Scholar 

  6. Hagan PG, Nienaber CA, Isselbacher EM, et al. The international registry of acute aortic dissection (IRAD): new insights into an old disease. JAMA 2000; 283:897–903.

    Article  PubMed  CAS  Google Scholar 

  7. Nienaber CA, von Kodolitsch Y, Nicolas V, et al. The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. N Engl J Med 1993; 328:1–9.

    Article  PubMed  CAS  Google Scholar 

  8. von Kodolitsch Y, Schwartz AG, Nienaber CA. Clinical prediction of acute aortic dissection. Arch Intern Med 2000; 160:2977–2982.

    Article  Google Scholar 

  9. Mehta RH, O’Gara PT, Bossone E, et al. Acute type A aortic dissection in the elderly: clinical characteristics, management, and outcomes in the current era. J Am Coll Cardiol 2002; 40:685–692.

    Article  PubMed  Google Scholar 

  10. Januzzi JL, Isselbacher EM, Fattori R, et al. Characterizing the young patient with aortic dissection: results from the International Registry of Aortic Dissection (IRAD). J Am Coll Cardiol 2004; 43:665–669.

    Article  PubMed  Google Scholar 

  11. Suzuki T, Mehta RH, Ince H, et al. Clinical profiles and outcomes of acute type B aortic dissection in the current era. Lessons learned from the International Registry of Aortic Dissection (IRAD). Circulation 2003; 108(Suppl 1):II312–317.

    PubMed  Google Scholar 

  12. Januzzi J, Sabatine MS, Eagle KA, et al. Iatrogenic aortic dissection. Am J Cardiol 2002; 89:623–626.

    Article  PubMed  Google Scholar 

  13. von Kodolitsch Y, Simic O, Schwartz A, et al. Predictors of proximal aortic dissection at the time of aortic valve replacement. Circulation 1999; 100(19 Suppl):II287–294.

    Google Scholar 

  14. Pieters FAA, Widdershoven JW, Gerardy AC, et al. Risk of aortic dissection after aortic valve replacement. Am J Cardiol 1997; 72:1043–1047.

    Article  Google Scholar 

  15. De Paepe A, Devereux R, Dietz H, et al. Revised diagnostic criteria for the Marfan syndrome. Am J Med Genet 1996; 62:417–426.

    Article  PubMed  Google Scholar 

  16. Sakai L, Keene D, Engvall E. Fibrillin, a new 350 kD glycoprotein is a compound of extracellular microfibrills. J Cell Biol 1986; 103:2499–2509.

    Article  PubMed  CAS  Google Scholar 

  17. Collod G, Babron MC, Jondeau G, et al. A second locus for Marfan syndrome maps to chromosome 3p24.2–p25. Nat Genet 1994; 8:264–268.

    Article  PubMed  CAS  Google Scholar 

  18. Milewicz DM, Pyeritz RE, Crawford ES, et al. Marfan syndrome: defective synthesis, secretion and extracellular matrix formation of fibrillin by cultured dermal fibroblasts. J Clin Invest 1992; 89:79–86.

    Article  PubMed  CAS  Google Scholar 

  19. Ramirez F. Fibrillin mutations in Marfan syndrome and related phenotypes. Curr Opin Genet Dev 1996; 6:309–315.

    Article  PubMed  CAS  Google Scholar 

  20. Aoyama T, Francke U, Dietz H, et al. Quantitative differences in biosynthesis and extracellular deposition of fibrillin in cultured fibroblasts distinguish five groups of Marfan syndrome patients and suggest distinct pathogenetic mechanisms. J Clin Invest 1994; 94:130–137.

    PubMed  CAS  Google Scholar 

  21. Boileau D, Jondeau G, Babron MC, et al. Autosomal dominant Marfan-like connective-tissue disorder with aortic dilatation and skeletal anomalies not linked to the fibrillin genes. Am J Hum Genet 1993; 53:46–54.

    PubMed  CAS  Google Scholar 

  22. Lesauskaite V, Tanganelli P, Sassi C, et al. Smooth muscle cells of the media in the dilatative pathology of ascending thoracic aorta: morphology, immunoreactivity for osteopontin, matrix metalloproteinases, and their inhibitors. Hum Pathol 2001; 32:1003–1011.

    Article  PubMed  CAS  Google Scholar 

  23. Bunton TE, Biery NJ, Myers L, et al. Phenotypic alteration of vascular smooth muscle cells precedes elastolysis in a mouse model of Marfan syndrome. Circ Res 2001; 88:37–43.

    PubMed  CAS  Google Scholar 

  24. Segura AM, Luna RE, Horiba K, et al. Immunohistochemistry of matrix metalloproteinases and their inhibitors in thoracic aortic aneurysms and aortic valves of patients with Marfan’s syndrome. Circulation 1998; 98:11331–337; discussion II337–338.

    Google Scholar 

  25. Sakomura Y, Nagashima H, Aoka Y, et al. Expression of peroxisome proliferator-activated receptor-γ in vascular smooth muscle cells is upregulated in cystic medial de generation of annuloaortic ectasia in Marfan Syndrome, Circulation 2002; 106(Suppl I):I259–263.

    PubMed  Google Scholar 

  26. Steinmann B, Royce P, Superti-Furga A. The Ehlers-Danlos syndrome. In: Royce PM, Steinmann B, editors. Connective tissue and its heritable disorders. New York: Wiley-Liss; 1993. p. 351–407.

    Google Scholar 

  27. Glesby M, Pyeritz R. Association of mitral valve prolapse and systemic abnormalities of connective tissue. A phenotypic continuum. JAMA 1989; 262:523–528.

    CAS  Google Scholar 

  28. Furthmayr H, Francke U. Jascending aortic aneurysm with or without features of Marfan syndrome and other fibrillinopathies: new insights. Semin Thorac Cardiovasc Surg 1997; 9:191–205.

    PubMed  CAS  Google Scholar 

  29. De Bakey ME, Beall AC, Cooley DA, et al. Dissecting aneurysms of the aorta. Surg Clin North Am 1966; 46:1045–1055.

    Google Scholar 

  30. Daily PO, Trueblood HW, Stinson EB, et al. Management of acute aortic dissection. Am Thorac Surg 1970; 10:237–247.

    Article  CAS  Google Scholar 

  31. Lansmann SL, McCullough JN, Nguyen KH, et al. Subtypes of acute aortic dissection. Ann Thorac Surg 1999; 67:1975–1978.

    Article  Google Scholar 

  32. Erbel R, Oelert H, Meyer J, et al. Effect of medical and surgical therapy on aortic dissection evaluated by transesophageal echocardiography. Implication for prognosis and therapy (The European Cooperative Study Group on Echocardiography). Circulation 1993; 83:1604–1615.

    Google Scholar 

  33. Nienaber CA, von Kodolitsch Y, Petersen B, et al. Intramural hemorrhage of the thoracic aorta. Diagnostic and therapeutic implications. Circulation 1995; 92:1465–1472.

    PubMed  CAS  Google Scholar 

  34. Vilacosta I, San Roman JA, Ferreiros J, et al. Natural history and serial morphology of aortic intramural haematoma: a novel variant of aortic dissection. Am Heart J 1997; 134:495–507.

    Article  PubMed  CAS  Google Scholar 

  35. Pretre R, von Segesser LK. Aortic dissection. Lancet 1997; 349:1461–1464.

    Article  PubMed  CAS  Google Scholar 

  36. Meszaros I, Moroez J, Szlavi J, et al. Epidemiology and clinicopathology of aortic dissection. Chest 2000; 117:1271–1278.

    Article  PubMed  CAS  Google Scholar 

  37. Nienaber CA, Eagle KA. Aortic dissection: new frontiers in diagnosis and management: Part I: from etiology to diagnostic strategies. Circulation 2003; 108:628–635.

    Article  PubMed  Google Scholar 

  38. von Kodolitsch Y, Csösz S, Koschyk DH, et al. Intramural hematoma of the aorta: Predictors of progression to dissection and rupture. Circulation 2003; 107:1158–1163.

    Article  Google Scholar 

  39. Evangelista A, Mukherjee D, Mehta RH, et al. Acute intramural hematoma of the aorta — a mystery in evolution. Circulation 2005; 111:1063–1070.

    Article  PubMed  Google Scholar 

  40. Die K, Uchida H, Otsuji H, et al. Acute aortic dissection with intramural hematoma: possibility of transition to classic dissection or aneurysm. J Throac Imaging 1996; 11:46–52.

    Google Scholar 

  41. Kaji S, Akasaka T, Horibata Y, et al. Long-term prognosis of patients with type A aortic intramural hematoma. Circulation 2002; 106(Suppl I):I248–252.

    PubMed  Google Scholar 

  42. Song JK, Kim HS, Kang DH, et al. Different clinical features of aortic intramural hematoma versus dissection involving the ascending aorta. J Am Coll Cardiol 2001; 37:1604–1610.

    Article  PubMed  CAS  Google Scholar 

  43. Neri E, Capannini G, Carone E, et al. Evolution toward dissection of an intramural hematoma of the ascending aorta. Ann Thorac Surg 1999; 68:1855–1866.

    Article  PubMed  CAS  Google Scholar 

  44. von Kodolitsch Y, Nienaber CA. Penetrating ulcer of the thoracic aorta: Natural history, diagnostic and prognostic profiles. Z Kardiol 1998; 87:917–927.

    Article  Google Scholar 

  45. Movsowitz HD, Lampert C, Jacobs LE, et al. Penetrating atherosclerotic aortic ulcers. Am Heart J 1994; 128:1210–1217.

    Article  PubMed  CAS  Google Scholar 

  46. Ganaha F, Miller DC, Sugimoto K, et al. The prognosis of aortic intramural hematoma with and without penetrating atherosclerose ulcer: a clinical and radiological analysis. Circulation 2002; 106:342–348.

    Article  PubMed  Google Scholar 

  47. Marcu CB, Ghantous AE, Donahue TJ. Intramural hematoma of the descending thoracic aorta. Conn Med 2005; 69:457–459.

    PubMed  Google Scholar 

  48. DeSanctis RW, Doroghazi RM, Austen WG, et al. Aortic dissection. N Engl J Med 1987; 317:1060–1067.

    Article  PubMed  CAS  Google Scholar 

  49. Fuster V, Halperin JL. Aortic dissection: a medical perspective. J Card Surg 1994; 9:713–728.

    PubMed  CAS  Google Scholar 

  50. Cigarroa JE, Isselbacher FM, De Sanetis RW, et al. Diagnostic imaging in the evaluation of suspected aortic dissection. Old standards and new directions. N Engl J Med 1993; 328:35–43.

    Article  PubMed  CAS  Google Scholar 

  51. Svensson LG, Crawford ES. Aortic dissection and aortic aneurysm surgery: clinical observations, experimental investigations and statistical analyses. Part II. Curr Probl Surg 1992; 29:913–1057.

    PubMed  CAS  Google Scholar 

  52. Miller DC. The continuing dilemma concerning medical versus surgical management of patients with acute type B dissection. Semin Thorac Cardiovasc Surg 1993; 5:33–46.

    PubMed  Google Scholar 

  53. Erbel R, Engberding R, Daniel W, et al. Echocardiography in diagnosis of aortic dissection. Lancet 1989; 1:457–461.

    Article  PubMed  CAS  Google Scholar 

  54. Moore AG, Eagle KA, Bruckman D, et al. Choice of computed tomography, transesophageal echocardiography, magnetic resonance imaging, and aortography in acute aortic dissection: International Registry of Acute Aortic Dissection (IRAD). Am J Cardiol 2002; 89:1235–1238.

    Article  PubMed  Google Scholar 

  55. Hirst AE Jr, Johns VJ Jr, Kime SW Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine 1958; 37:217–279.

    PubMed  Google Scholar 

  56. Mehta RH, Suzuki T, Hagan PG, Bossone E, et al. Predicting death in patients with acute type A aortic dissection. Circulation 2002; 105:200–206.

    Article  PubMed  Google Scholar 

  57. Eagle KA, Quertermous T, Kritzer GA, et al. Spectrum of conditions initially suggesting acute aortic dissection but with negative aortograms. Am J Cardiol 1986, 57:322–326.

    Article  PubMed  CAS  Google Scholar 

  58. Isselbacher EM, Cigarroa JE, Eagle KA. Cardiac tamponade complicating proximal aortic dissection: is pericardiocentesis harmful? Circulation 1994; 90:2375–2379.

    PubMed  CAS  Google Scholar 

  59. Lai DT, Robbins RC, Mitchell SC, et al. Does profound hypothermic circulatory arrest improve survival in patients with acute type A aortic dissection? Circulation 2002; 106:1218–228.

    Google Scholar 

  60. Schor JS, Yerlioglu ME, Galla JD, et al. Selective management of acute type B aortic dissection: long-term follow-up. Ann Thorac Surg 1996; 61:1339–1341.

    Article  PubMed  CAS  Google Scholar 

  61. Kazui T, Washiyama N, Muhammad BA, et al. Extended total arch replacement for acute type A aortic dissection: experience with seventy patients. J Thorac Cadiovasc Surg 2000; 119:558–565.

    Article  CAS  Google Scholar 

  62. David TE, Feindel CM. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 1992; 103:617–621; discussion 622.

    PubMed  CAS  Google Scholar 

  63. Yacoub MH, Gehle P, Candrasekaran V, et al. Late results of a valve preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg 1998; 115:1080–1090.

    Article  PubMed  CAS  Google Scholar 

  64. Kouchoukos NT, Wareing TH, Murphy SF, et al. Sixteen-year experience with aortic root replacement. Results in 172 operations. Ann Surg 1991; 214:308–318; discussion 318–330.

    CAS  Google Scholar 

  65. Gott VL, Greene PS, Alejo DE, et al. Replacement of the aortic root in patients with Marfan’s syndrome. N Engl J Med 1999; 340:1307–1317.

    Article  PubMed  CAS  Google Scholar 

  66. Bentall H, De Bono A. A technique for complete replacement of the ascending aorta. Thorax 1968; 23:338–339.

    PubMed  CAS  Google Scholar 

  67. Ergin MA, O’Connor J, Guinto R, et al. Experience with profound hypothermia and circulatory arrest in the treatment of aneurysms of the aortic arch. Aortic arch replacement for acute aortic arch dissections. J Thorac Cardiovasc Surg 1982; 84:649–655.

    PubMed  CAS  Google Scholar 

  68. Nguyen B, Muller M, Kipfer B, et al. Different techniques of distal aortic repair in acute type A dissection: impact on late aortic morphology and reoperation. Eur J Cardiothorac Surg 1999; 15:496–500.

    Article  PubMed  CAS  Google Scholar 

  69. Griepp RB, Ergin MA, Lansman SL, et al. The physiology of hypothermic circulatory arrest. Semin Thorac Cardiovasc Surg 1991; 3:188–193.

    PubMed  CAS  Google Scholar 

  70. Borst HG, Walterbusch G, Schaps D. Extensive aortic replacement using ‘elephant trunk’ prosthesis. Thorac Cardiovasc Surg 1983; 31:37–40.

    Article  PubMed  CAS  Google Scholar 

  71. Ince H, Nienaber CA. The concept of interventional therapy in acute aortic syndrome. J Card Surg 2002; 17:135–142.

    PubMed  Google Scholar 

  72. Nienaber CA, Fattori R, Lund G, et al. Nonsurgical reconstruction of thoracic aortic dissection by stent-graft placement. N Engl J Med 1999; 340:1539–1545.

    Article  PubMed  CAS  Google Scholar 

  73. Dake M, Kato N, Mitchell RS. Endovascular stent-graft placement for the treatment of acute aortic dissection. N Engl J Med 1999; 340:1524–1531.

    Article  Google Scholar 

  74. Walkers PJ, Miller DC. Aneurysmal and ischemic complications of type B (type III) aortic dissections. Semin Vasc Surg 1992; 5:198–214.

    Google Scholar 

  75. Walkers PJ, Dake MD, Mitchell RS, et al. The use of endovascular techniques for the treatment of complications of aortic dissection. J Vase Surg 1993; 18:1042–1051.

    Article  Google Scholar 

  76. Fann JI, Sarris GE, Mitchell RS, et al. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg 1990; 212:705–713.

    PubMed  CAS  Google Scholar 

  77. Yano H, Ishimaru S, Kawaguchi S, et al. Endovascular stent-grafting of the descending thoracic aorta after arch repair in acute type A dissection. Ann Thorac Surg 2002; 73:288–291.

    Article  PubMed  Google Scholar 

  78. Iannelli G, Piscione F, Di Tommaso L, et al. Thoracic aortic emergencies: impact of endovascular surgery. Ann Thorac Surg 2004; 77:591–596.

    Article  PubMed  Google Scholar 

  79. Kato N, Shimono T, Hirano T, et al. Transluminal placement of endovascular stent-grafts for the treatment of type A aortic dissection with an entry tear in the descending thoracic aorta. J Vase Surg 2001; 34:1023–1028.

    Article  CAS  Google Scholar 

  80. Nienaber CA, Ince H, Weber F, et al. Emergency stent-graft placement in thoracic aortic dissection and evolving rupture. J Card Surg 2003; 18:464–470.

    Article  PubMed  Google Scholar 

  81. Beregi JP, Haulon S, Otal P, et al. Endovascular treatment of acute complications associated with aortic dissection: midterm results from a multicenter study. J Endovasc Ther 2003; 10:486–493.

    Article  PubMed  Google Scholar 

  82. Pansini S, Gagliardotto PV, Pompei E, et al. Early and late risk factors in surgical treatment of acute type A aortic dissection. Ann Thorac Surg 1998;66:779–784.

    Article  PubMed  CAS  Google Scholar 

  83. Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection. Task force report of the European Society of Cardiology. Eur Heart J 2001; 22:1642–1681.

    Article  PubMed  CAS  Google Scholar 

  84. Doroghazi RM, Slater EE, DeSanctis RW, Buckley MJ, Austen WG, Rosenthal S. Long-term survival of patients with treated aortic dissection. J Am Coll Cardiol 1984; 3:1026–1034.

    Article  PubMed  CAS  Google Scholar 

  85. Umana JP, Lai DT, Mitchell RS, Moore KA, Rodriguez F, Robbins RC, Oyer PE, Dake MD, Shumway NE, Reitz BA, Miller DC. Is medical therapy still the optimal treatment 65. strategy for patients with acute type B aortic dissections? J Thorac Cardiovasc Surg 2002; 124:896–910.

    Article  PubMed  Google Scholar 

  86. Bernard Y, Zimmermann H, Chocron S, Litzler JF, Kastler B, Etievent JP, Meneveau N, Schiele F, Bassand JP. False lumen patency as a predictor of late outcome in aortic dissection. Am J Cardiol 2001; 87:1378–1382.

    Article  PubMed  CAS  Google Scholar 

  87. Shores J, Berger KR, Murphy ER, et al. Progression of aortic dilatation and the benefit of long-term beta adrenergic blockade in Marfan’s-syndrome, N Engl J Med 1994; 330:1335–1341.

    Article  PubMed  CAS  Google Scholar 

  88. Nienaber CA, von Kodolitsch Y. Therapeutic management of patients with Marfan syndrome — focus on cardiovascular involvement. Cardiol Review 1999; 7:332–341.

    CAS  Google Scholar 

  89. Pereira L, Levran O, Ramirez F, et al. A molecular approach to the stratification of cardiovascular risk in families with Marfan’s syndrome. N Engl J Med 1994; 331:148–153.

    Article  PubMed  CAS  Google Scholar 

  90. Deeb GM, Williams DM, Boiling SF, et al. Surgical delay for acute type A dissection with malperfusion. Ann Thorac Surg 1997; 64:1669–75; discussion 1675–1677.

    Article  PubMed  CAS  Google Scholar 

  91. Finkbohner R, Johnston D, Crawford ES, et al. Marfan syndrome. Long-term survival and complications after aortic aneurysm repair. Circulation 1995; 91:728–733.

    PubMed  CAS  Google Scholar 

  92. Silverman DI, Burton KJ, Gray J, et al. Life expectancy in the Marfan syndrome. Am J Cardiol 1995; 75:157–160.

    Article  PubMed  CAS  Google Scholar 

  93. Marui A, Mochizuki T, Mitsui N, et al. Toward the best treatment for uncomplicated patients With type B acute aorticdissection — a consideration for sound surgical indication. Circulation 1999; 100(Suppl II):II275–280.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Division of Cardiology, University Hospital Rostock Rostock School of Medicine, Ernst-Heydemann-Str. 6, 18057, Rostock, Germany

    Christoph A. Nienaber

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  1. Department of Radiology, Rangueil University Hospital, 1 av J. Poulhes — TSA 50032, 31059, Toulouse CEDEX 9, France

    Hervé Rousseau

  2. Cardiovascular and Thoracic Surgery Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-Philippe Verhoye

  3. Radiology and Medical Imaging Department, University Hospital Center of Rennes Pontchaillou Hospital, Rue Henri Le Guillou, 35033, Rennes CEDEX 9, France

    Jean-François Heautot

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Nienaber, C.A. (2006). Medical Treatment or Endovascular Stent-Graft Treatment for Acute Aortic Syndrome. In: Rousseau, H., Verhoye, JP., Heautot, JF. (eds) Thoracic Aortic Diseases. Springer, Berlin, Heidelberg . https://doi.org/10.1007/3-540-38309-3_22

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