Abstract
Reports in the literature frequently concern miscellaneous types of dissections. This makes correct interpretation of data difficult. In order to assess the determinants of hospital mortality, the results of 148 consecutive patients over a 23-year period, all operated on for a type A dissection, were reviewed. Mean(s.d.) age was 56(13.1) years, 64% were male. An acute dissection (surgery within 14 days after onset of symptoms) was performed in 139 patients. Stigmata of the Marfan syndrome were present in 6.1% (n = 9). Peripheral vascular ischaemic complications were observed in 27.7%. Nowadays, diagnosis is primarily confirmed using transoesophageal echocardiography (75 correct diagnoses among 76 performed). Operation consisted of repair or replacement of the ascending aorta. Resuspension of the aortic valve was performed in 74 patients, and arch replacement in 25. In 74 patients, distal repair was done under deep hypothermic circulatory arrest. Hospital mortality rate was 23.6% (35 patients), though mortality rate calculated over the period 1990-1993 was 17.4% (P = n.s.). Univariate analysis revealed the following variables to be statistically significant predictors of hospital mortality (P < 0.05): preoperative ischaemic comp...Continue Reading
Citations
Jul 13, 2000·The Annals of Thoracic Surgery·M P EhrlichR B Griepp
Jul 5, 2003·The Annals of Thoracic Surgery·Armin W ErasmiErnst G Kraatz
Jan 16, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Kaan KiraliCevat Yakut
Jul 13, 2000·The Annals of Thoracic Surgery·J A BingleyM F O'Brien
Apr 28, 2007·The Annals of Thoracic Surgery·Hiroki HataYoshiki Sawa
Jul 28, 2004·The Annals of Thoracic Surgery·Bruno ChiappiniMarc Schepens
Dec 23, 2006·The Annals of Thoracic Surgery·Vincenzo RampoldiUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Dec 6, 2014·The Annals of Thoracic Surgery·Ali El-Sayed AhmadAndreas Zierer
Jan 16, 2002·Circulation·Rajendra H MehtaUNKNOWN International Registry of Acute Aortic Dissection (IRAD) Investigators
Apr 16, 2014·Circulation·Tristan D YanUNKNOWN International Aortic Arch Surgery Study Group
Dec 25, 2004·European Heart Journal·Bruno ChiappiniRoberto Di Bartolomeo
Nov 6, 2010·Interactive Cardiovascular and Thoracic Surgery·Lars NiclaussLudwig Karl von Segesser
Jul 27, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thierry CausThierry Mesana
Aug 9, 2019·Pharmaceuticals·Eithne M MaguireQingzhong Xiao
Apr 17, 2020·Journal of Cardiothoracic Surgery·Kai ZhangLi-Zhong Sun
Apr 3, 2021·Journal of Cardiac Surgery·Aleksandra LopuszkoMohamad Bashir
Sep 13, 2003·Circulation·Marek P EhrlichErnst Wolner
Jul 6, 2006·Circulation·Thomas T TsaiUNKNOWN International Registry of Acute Aortic Dissection (IRAD)