Aortic dissection historical perspective

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Aortic dissection Microchapters

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Case Studies

Case #1


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sahar Memar Montazerin, M.D.[2]

Overview

Dr. Frank Nicholls described the first case of aortic dissection in 1761. Later, in 1819, Dr. René Laennec used the term dissecting aneurysm for the first time. First successful surgical intervention for aortic dissection was done by Dr. Cooley and Dr. Creech in 1954. In 1965, Dr. DeBakey suggested the first classification system for aortic dissection. In 1970, a group of surgeons suggested the simplified classification system of Stanford. In 1996, an international, referral center was registered for acute aortic dissection with the goal of registering patients presentation, treatment, and outcome. This registry provides information of more than 1500 patients with acute aortic dissection and may be used as a resource for this disorder. In 2006, another international registry was established in Germany for acute aortic dissection type A (AADA) with the goal of collecting patients information for structured follow-up. This registry of more than 2000 patients is now the largest database on AADA worldwide.

Historical Perspective

Discovery

  • In 1761, Dr. Frank Nicholls described the first case of aortic dissection.[1]
  • In 1965, Dr. DeBakey suggested the first classification system for aortic dissection.[2]

Landmark Events in the Development of Treatment Strategies

  • First successful surgical intervention for aortic dissection was done by Dr. Cooley and Dr. Creech in 1954.[3]
  • In 1970, a group of surgeons suggested the simplified classification system of Stanford.[4]
  • In 1996, an international, referral center was registered for acute aortic dissection with the goal of registering patients presentation, treatment, and outcome. This registry provides information of more than 1500 patients with acute aortic dissection and may be used as a resource for this disorder.[5]
  • In 2006, another international registry was established in Germany for acute aortic dissection type A (AADA) with the goal of collecting patients information for structured follow-up. This registry of more than 2000 patients is now the largest database on AADA worldwide.[6][7]

Impact on Cultural History

Famous Cases

The following are the famous cases of aortic dissection:[9]

  • George II, King of England
  • Dr. Michael DeBakey

References

  1. "LI. Observations concerning the body of his late Majesty, October 26, 1760". Philosophical Transactions of the Royal Society of London. 52: 265–275. 1761. doi:10.1098/rstl.1761.0052. ISSN 0261-0523.
  2. DEBAKEY ME, HENLY WS, COOLEY DA, MORRIS GC, CRAWFORD ES, BEALL AC (January 1965). "SURGICAL MANAGEMENT OF DISSECTING ANEURYSMS OF THE AORTA". J. Thorac. Cardiovasc. Surg. 49: 130–49. PMID 14261867.
  3. De Bakey, Michael E.; Cooley, Denton A.; Creech, Oscar (1955). "Surgical Considerations of Dissecting Aneurysm of the Aorta". Annals of Surgery. 142 (4): 586–612. doi:10.1097/00000658-195510000-00005. ISSN 0003-4932.
  4. Daily, Pat O.; Trueblood, H. Ward; Stinson, Edward B.; Wuerflein, Robert D.; Shumway, Norman E. (1970). "Management of Acute Aortic Dissections". The Annals of Thoracic Surgery. 10 (3): 237–247. doi:10.1016/S0003-4975(10)65594-4. ISSN 0003-4975.
  5. Hagan, Peter G.; Nienaber, Christoph A.; Isselbacher, Eric M.; Bruckman, David; Karavite, Dean J.; Russman, Pamela L.; Evangelista, Arturo; Fattori, Rossella; Suzuki, Toru; Oh, Jae K.; Moore, Andrew G.; Malouf, Joseph F.; Pape, Linda A.; Gaca, Charlene; Sechtem, Udo; Lenferink, Suzanne; Deutsch, Hans Josef; Diedrichs, Holger; Marcos y Robles, Jose; Llovet, Alfredo; Gilon, Dan; Das, Sugata K.; Armstrong, William F.; Deeb, G. Michael; Eagle, Kim A. (2000). "The International Registry of Acute Aortic Dissection (IRAD)". JAMA. 283 (7): 897. doi:10.1001/jama.283.7.897. ISSN 0098-7484.
  6. Conzelmann, L.O.; Krüger, T.; Hoffmann, I.; Rylski, B.; Easo, J.; Oezkur, M.; Kallenbach, K.; Dapunt, O.; Karck, M.; Weigang, E. (2011). "Deutsches Register für akute Aortendissektion Typ A (GERAADA)". Herz. 36 (6): 513–524. doi:10.1007/s00059-011-3512-x. ISSN 0340-9937.
  7. Weigang, E.; Rylski, B.; Krüger, T.; Easo, J.; Conzelmann, L.O.; Karck, M.; Boening, A. (2016). "German Registry for Acute Aortic Dissection Type A: Structure, Results, and Future Perspectives". The Thoracic and Cardiovascular Surgeon. 65 (02): 077–084. doi:10.1055/s-0036-1572436. ISSN 0171-6425.
  8. Criado FJ (2011). "Aortic dissection: a 250-year perspective". Tex Heart Inst J. 38 (6): 694–700. PMC 3233335. PMID 22199439.
  9. Leonard, J C (1979). "Thomas Bevill Peacock and the early history of dissecting aneurysm". BMJ. 2 (6184): 260–262. doi:10.1136/bmj.2.6184.260. ISSN 0959-8138.

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