How I do acute type A dissection
Issued Date
2025-01-01
Resource Type
ISSN
02184923
eISSN
18165370
Scopus ID
2-s2.0-105025428713
Journal Title
Asian Cardiovascular and Thoracic Annals
Rights Holder(s)
SCOPUS
Bibliographic Citation
Asian Cardiovascular and Thoracic Annals (2025)
Suggested Citation
Slisatkorn W., Wongkornrat W., Chartrungsan A., Sanphasitvong V., Luangthong N. How I do acute type A dissection. Asian Cardiovascular and Thoracic Annals (2025). doi:10.1177/02184923251407824 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/113706
Title
How I do acute type A dissection
Author's Affiliation
Corresponding Author(s)
Other Contributor(s)
Abstract
Acute type A aortic dissection is a life-threatening condition that requires urgent surgical intervention. This article presents our institutional approach, offering a systematic, step-by-step guide to surgical management. Key aspects include preoperative preparation, intraoperative monitoring, arterial cannulation strategies, management of malperfusion, cardiopulmonary bypass, myocardial and cerebral protection, and reconstruction of the aortic root, arch, coronary artery, and left subclavian artery. The use of the frozen elephant trunk technique with hybrid devices is described in detail. Operative photographs, echocardiography, and computed tomography angiography are incorporated to support technical understanding and clinical practice.