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; Joseph E Bavaria

doi:10.1016/j.ejcts.2010.05.038

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

Eur J Cardiothorac Surg. 2011 Apr;39(4):519-22. doi: 10.1016/j.ejcts.2010.05.038. Epub 2010 Jul 7.

Authors

John G T Augoustides¹, Wilson Y Szeto, Nimesh D Desai, Alberto Pochettino, Albert T Cheung, Joseph S Savino, Joseph E Bavaria

Affiliation

¹ Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, Dulles 680, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA. [email protected]

PMID: 20615719
DOI: 10.1016/j.ejcts.2010.05.038

Abstract

Recent 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.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Acute Disease
Aortic Aneurysm / classification*
Aortic Aneurysm / diagnosis
Aortic Aneurysm / therapy
Aortic Dissection / classification*
Aortic Dissection / diagnosis
Aortic Dissection / therapy
Humans