Patients who survive the initial operation of acute type A aortic dissection
(TAAAD) still face the risk of aneurysm formation and rupture of the residual dissected
aorta. Although surveillance of the postoperative distal aortic size is the current standard
of follow-up and indication of reoperation, several parameters of false lumens have
been analyzed in order to earlier identify the subgroup at risk for adverse aortic events.
The associations between postoperative false lumen patency and late aortic growth,
aneurysm formation, and the reoperation rate have been extensively investigated and
generally accepted. Controversies do exist, however, and more detailed studies of false
lumen status, including the role of partial thrombosis and the character of tear entries,
have challenged the effectiveness of prognosis prediction based on false lumen patency
alone. These parameters of false lumens will change our concept of postoperative
follow-up and may potentially improve the long-term outcome of TAAAD by earlier
selection of patients who will benefit from secondary interventions.
Keywords: Aneurysm formation, Aortic diameter, Aortic growth, Arch
reconstruction, Area, Decompression, Diameter, Elephant trunk, Entry tear
location, Entry tear size, False lumen, Frozen elephant trunk, Hemiarch,
Intraluminal pressure, Partial arch, Partial thrombosis, Patent, Reintervention,
Reoperation, Survival, Thrombosis, Total arch.
