Commentary: Acute Type A Aortic Dissection Presenting with Neurologic Dysfunction: A Clinical Conundrum?

      Patients with acute type A aortic dissection presenting with acute neurological injury form a therapeutic challenge where personalized treatment plans should stem from a shared decision-making process.
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      Linked Article

      • Type A Acute Aortic Dissection Presenting With Cerebrovascular Accident at Advanced Age
        Seminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
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          Our aim was to analyze outcomes of patients aged 70 years or above presenting with type A acute aortic dissection (TAAAD) and cerebrovascular accident (CVA). A retrospective analysis of the International Registry of Acute Aortic Dissection (IRAD) was conducted. Patients aged 70 years or above (n = 1449) were stratified according to presence or absence of CVA before surgery (CVA: n = 110, 7.6%). In-hospital outcomes and mortality up to 5 years were analyzed. Additionally, in-hospital outcomes of patients who received medical management were described.
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