title: [Surgery of aortic dissection: for which patient?].
abstract: In the acute stage (less than two weeks), surgery is indicated for Stanford type A aortic dissections. With respect to the initial work-up, surgery consists in replacing the ascending aorta, sometimes the aortic arch (with supra aortic vessels reimplantation), and aortic valve replacement (valve replacement, Bentall valved tube or valve sparing Tyron David technique). Ischemic visceral complications must be searched for and treated by endovascular techniques or surgery. Aneurismal evolution of chronic dissections must be treated surgically. Replacement can encompass the entire aorta.
authors.affiliation: CHU Pontchaillou, service de chirurgie thoracique et cardiovasculaire, 35033 Rennes cedex 9, France.
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Verhoye
authors.forename: Issam
authors.initials: I
authors.lastname: Abouliatim
authors.forename: Antoine
authors.initials: A
authors.lastname: Larralde
authors.forename: Xavier
authors.initials: X
authors.lastname: Beneux
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Heautot
mesh_terms: D000208:Acute Disease; D001018:Aortic Diseases / Q000601:surgery*; D002908:Chronic Disease; D006801:Humans; D018579:Patient Selection; D014656:Vascular Surgical Procedures / Q000379:methods