Advances in the Treatment of Aortic Dissection 46:57-48:47 Q: Are there different recommendations for surgery if a patient is Loeys-Dietz compared to Marfan? Eileen: ロイス・ディーツ症候群の血管手術において、マルファン症候群と比較して、特…

Advances in the Treatment of Aortic Dissection 44:03-46:55 Q:Dr. Ohman, you mentioned, you said that but the endovascular repair not being for connective tissue disorder patients. There's so many questions about that. Can you explain why a…

Advances in the Treatment of Aortic Dissection 42:25-44:02 Q:Let's start with a question for Dr. Moon. You mentioned the new AATS guidelines.What, what were the, were big three big changes that came out of that? Eileen: では、最初の質問はM…

Advances in the Treatment of Aortic Dissection 40:40-42:15 So where are we going in the future and what, if you take away four things from this talk what should it be? ではまとめです。このスライドにある4つのポイントを覚えておいていただきた…

Advances in the Treatment of Aortic Dissection 37:01-40:39 Most of the experiences in the literature are single study or single center institution reports with a handful, maybe, two dozen at best and you can see for patients in both dissec…

Advances in the Treatment of Aortic Dissection 35:32-37:01 And why is that? So endovascular repair sounds so much better than a big open operation. It's two needle pokes in the groin, you're watched in the ICU but we really have to ask, go…

Advances in the Treatment of Aortic Dissection 34:04-35:31 And so I have to be clear. GenTAC has a statement and, and this is true for patients who are stable and are undergoing elective repair open surgery remains the gold standard. GenTA…

Advances in the Treatment of Aortic Dissection 31:53-34:04 So when do we make the decision to go to the operating room? If it's an acute, malperfusion issue with solely a type B and they're relatively stable I want to be very clear ―― the …

Advances in the Treatment of Aortic Dissection 31:12-31:52 Medication remains the gold standard. Nothing has changed. That's true for type A. That's true for type B as well as residual dissections after type A repair. 薬物療法は大動脈解離…

Advances in the Treatment of Aortic Dissection 29:12-31:11 What about pregnancy? This is a very common question and we presume that these females who are pregnant are at a higher risk due to the physiologic changes. The heart has to work h…

Advances in the Treatment of Aortic Dissection 26:58-29:11 So there's this question of the Phenotype-Genotype interplay. We know that certain gene mutations within the Marfan family are associated with a higher rate of ectopia lentis or sk…

Advances in the Treatment of Aortic Dissection 24:36-26:58 But ultimately what does all of this mean for you, for patients who do have a diagnosis or a suggestion of a genetically triggered aortopathy? B型解離の概要は先程述べた通りですが、…

Advances in the Treatment of Aortic Dissection 22:12-24:35 My name is Wesley Ohman and it's honestly an honor to be paired up with Dr. Moon, who taught me so much about what I'm going to be talking about in terms of management of type B ao…

Advances in the Treatment of Aortic Dissection 21:01-21:59 So early diagnosis and institution of definitive therapy is the key. A型解離では、早期発見と根本的な治療のできる医療施設で治療を受けられるかどうかがカギとなります。 Surgical treatm…

Advances in the Treatment of Aortic Dissection 19:51-21:00 These are the couple of most important things. I've got a good friend, Joe Bavaria, who works at the University of Pennsylvania. When we publish these data he told me he keeps this…

Advances in the Treatment of Aortic Dissection 18:36-19:50 At Washington University we've done, we just presented our series at the last surgical meeting of 177 of these patients who had valve sparing procedures, very young patients averag…

Advances in the Treatment of Aortic Dissection 17:14-18:35 So here let's look at the options for repair. Supracommissural replacement, that's an ascending aortic replacement is number, is letter a and that's just a classic repair. We repai…

Advances in the Treatment of Aortic Dissection 16:33-17:13 So we need to talk about cannulation. That's how we put somebody on the heart-lung machine whether we do in a vessel near your head or a vessel in your leg. These are all important…

Advances in the Treatment of Aortic Dissection 15:35-16:11 So the IRAD database is a database all over the world that puts all their data into one spot and looks at results. では、IRADからわかっていることをご紹介します。IRADとは、急性大動…

Advances in the Treatment of Aortic Dissection 14:06-15:34 So when do we treat an acute dissection? Well, any patient who's deemed survivable and so it used to be that "Oh, if you're over 80 you don't get treated," but that's just not true…