Alan Braverman

“TIME IS LIFE”: EARLY MORTALITY IN TYPE A ACUTE AORTIC DISSECTION: INSIGHTS FROM THE IRAD REGISTRY

Based on 1950s data, the mortality rate for type A acute aortic dissection (AD) during the initial 24-hours was reported to be 1-2% per hour. In the contemporary era, limited data exist regarding initial 24-hour mortality and the impact of early surgical intervention.nnWe reviewed duration of

PREDICTIVE FACTORS FOR RAPID AORTIC GROWTH FOLLOWING ACUTE TYPE A AORTIC DISSECTION PATIENTS: A STUDY FROM THE INTERNATIONAL REGISTRY OF ACUTE AORTIC DISSECTION

Background: Residual dissection after acute Type A aortic dissection (TAAAD) repair has an associated but not well defined risk for aneurysmal degeneration. The purpose of this study was to investigate potential risk factors and outcomes associated with rapid aortic growth in the residually

BODY MASS INDEX AND ACUTE AORTIC DISSECTION

Background: Obesity has been linked to many cardiovascular diseases, yet little is known about its impact on acute aortic dissection (AAD). We sought to assess the clinical manifestations, management and outcomes of AAD in relation to body mass index (BMI).nnMethods: We evaluated 2037 AAD patients

UNCONTROLLED HYPERTENSION IN ACUTE AORTIC DISSECTION FOLLOW-UP

Background: Hypertension (HTN) is one of the most common comorbidities associated with acute aortic dissection (AAD), and strict blood pressure control is a cornerstone of post-AAD therapy. This study seeks to identify factors associated with uncontrolled HTN in AAD follow-up and investigates

ONSET OF IN-HOSPITAL COMPLICATIONS IN ACUTE TYPE B AORTIC DISSECTIONS INITIALLY UNCOMPLICATED

It is unknown what the incidence is of in-hospital complications in patients presenting with initially uncomplicated acute type B aortic dissection (ABAD) and what predicts such clinical evolution. Our aim was to identify the incidence and predictors of development of in-hospital complications in

HEAD AND NECK PAIN IN PATIENTS PRESENTING WITH ACUTE AORTIC DISSECTION

Head and neck pain is an atypical presentation of acute aortic dissection. Classic teaching states that this symptom is associated with proximal dissections, but this has not been extensively studied.nnPatients enrolled in the International Registry of Acute Aortic Dissection (IRAD) from January

STUDY OF ACUTE TYPE A AORTIC DISSECTION PATIENTS WITH UNDILATED AORTAS

Methods: The average diameter of the healthy ascending thoracic aorta is 3.41 cm and 3.19 cm for men and women, respectively. This study investigated TAAAD patients enrolled in the International Registry of Acute Aortic Dissection with undilated aortas (diameter <4.0 cm) compared to those with dilated aortas (4.0 cm or larger). Patients with a prior history of aneurysm and/or dissection surgery were excluded.

AORTIC SIZE INDICES: A MORE COMPREHENSIVE EVALUATION OF AORTIC RISK

Aortic size is the determining factor for prophylactic intervention on diseased aortas. However, recent studies have shown that dissecting aortas are often sized well below the diameters defined by surgical guidelines. Whether or not adjusting aortic diameters for body size will better categorize