Classification of acute type A dissection: focus on clinical presentation and extent.
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.
Augoustides
John G T
JG
Cardiothoracic and Vascular Section, Anesthesiology and Critical Care, Dulles 680, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA. yiandoc@hotmail.com
Szeto
Wilson Y
WY
Desai
Nimesh D
ND
Pochettino
Alberto
A
Cheung
Albert T
AT
Savino
Joseph S
JS
Bavaria
Joseph E
JE
D000208:Acute Disease; D000784:Aortic Dissection / Q000145:classification* / Q000175:diagnosis / Q000628:therapy; D001014:Aortic Aneurysm / Q000145:classification* / Q000175:diagnosis / Q000628:therapy; D006801:Humans