• Eur J Cardiothorac Surg · Apr 2011

    Review

    Classification of acute type A dissection: focus on clinical presentation and extent.

    • John G T Augoustides, Wilson Y Szeto, Nimesh D Desai, Alberto Pochettino, Albert T Cheung, Joseph S Savino, and Joseph E Bavaria.
    • Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, Dulles 680, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA. yiandoc@hotmail.com
    • Eur J Cardiothorac Surg. 2011 Apr 1; 39 (4): 519-22.

    AbstractRecent advances in the management of acute Stanford type A dissection have highlighted the clinical importance of clinical presentation and extent of dissection. The Penn classification of type A clinical presentations is based on ischemic profiles that not only determine mortality but also influence management options. The extent of type A dissection as summarized by the DeBakey classification significantly determines the role of endovascular intervention in this important disease. We propose an integration of these three classifications of acute type A dissection as a framework for future advances in diagnosis, intervention and prognosis.Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

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