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Eur J Cardiothorac Surg 2005;27:632-633
© 2005 Elsevier Science NL

Editorial comment

Oxford Heart Center, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK

^* Tel.: +44 1865 220269; fax: +44 1865 220268. (E-mail: swestaby@ahf.org.uk).

The first 20% of the full text of this article appears below.

In this paper from the renowned Mount Sinai Aortic Surgery Group, Halstead and Colleagues advocate a more radical approach to aortic root pathology in acute Type A dissection. Their concluding sentence states that "These results support an aggressive policy of composite root replacement in acute Type A dissection". Is this really the case?

The study design does not test the hypothesis that root replacement with a prosthetic valved conduit provides better short or long-term results than supracoronary aortic replacement with valve re-suspension. This is a retrospective analysis and comparative study of two difference circumstances. Patients with more extensive root involvement (Group B) and aortic regurgitation (in 82% of cases) were treated by prosthetic valved conduit root replacement. Those without root involvement or dissection limited to the non-coronary sinus received the less taxing approach of supracoronary aortic replacement (Group A) and valve re-suspension if prolapse occurred. More . . . [Full Text of this Article]

This article has been cited by other articles:

				A. L. Estrera and H. J. Safi Editorial comment: Proximal reconstruction during Type A aortic dissection Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 41 - 42. [Full Text] [PDF]