Contemporary results of surgery in acute type a aortic dissection

The International Registry of Acute Aortic Dissection experience

Santi Trimarchi, Christoph A. Nienaber, Vincenzo Rampoldi, Truls Myrmel, Toru Suzuki, Rajendra H. Mehta, Eduardo Bossone, Jeanna V. Cooper, Dean E. Smith, Lorenzo Menicanti, Alessandro Frigiola, Jae K. Oh, Michael G. Deeb, Eric M. Isselbacher, Kim A. Eagle

Research output: Contribution to journalArticle

326 Citations (Scopus)

Abstract

Surgical mortality for acute type A aortic dissection reported in different experiences from single centers or surgeons varies from 7% to 30%. The International Registry of Acute Aortic Dissection, collecting patients from 18 referral centers worldwide, identifies a preoperative risk stratification scheme and a real average surgical mortality for acute type A aortic dissection in the current era. A comprehensive analysis was completed of 290 clinical variables and their relationship to surgical outcomes in 526 of 1032 patients enrolled in the International Registry of Acute Aortic Dissection from 1996 through 2001. Extracted cases, categorized according to risk profile, were defined as unstable (group I) in the presence of cardiac tamponade; shock; congestive heart failure; cerebrovascular accident; stroke; coma; myocardial ischemia, infarction, or both; electrocardiograms with new Q waves or ST elevation; acute renal failure; or mesenteric ischemia-infarction at the time of the operation. Outside of an unstable condition, patients were categorized as stable (group II). The overall in-hospital mortality was 25.1%. Mortality in group I was 31.4% compared with 16.7% in group II (P

Original languageEnglish
Pages (from-to)112-122
Number of pages11
JournalJournal of Thoracic and Cardiovascular Surgery
Volume129
Issue number1
DOIs
Publication statusPublished - Jan 2005

Fingerprint

Registries
Dissection
Mortality
Stroke
Cardiac Tamponade
Coma
Hospital Mortality
Acute Kidney Injury
Infarction
Myocardial Ischemia
Shock
Electrocardiography
Referral and Consultation
Heart Failure
Myocardial Infarction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Contemporary results of surgery in acute type a aortic dissection : The International Registry of Acute Aortic Dissection experience. / Trimarchi, Santi; Nienaber, Christoph A.; Rampoldi, Vincenzo; Myrmel, Truls; Suzuki, Toru; Mehta, Rajendra H.; Bossone, Eduardo; Cooper, Jeanna V.; Smith, Dean E.; Menicanti, Lorenzo; Frigiola, Alessandro; Oh, Jae K.; Deeb, Michael G.; Isselbacher, Eric M.; Eagle, Kim A.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 129, No. 1, 01.2005, p. 112-122.

Research output: Contribution to journalArticle

Trimarchi, S, Nienaber, CA, Rampoldi, V, Myrmel, T, Suzuki, T, Mehta, RH, Bossone, E, Cooper, JV, Smith, DE, Menicanti, L, Frigiola, A, Oh, JK, Deeb, MG, Isselbacher, EM & Eagle, KA 2005, 'Contemporary results of surgery in acute type a aortic dissection: The International Registry of Acute Aortic Dissection experience', Journal of Thoracic and Cardiovascular Surgery, vol. 129, no. 1, pp. 112-122. https://doi.org/10.1016/j.jtcvs.2004.09.005
Trimarchi, Santi ; Nienaber, Christoph A. ; Rampoldi, Vincenzo ; Myrmel, Truls ; Suzuki, Toru ; Mehta, Rajendra H. ; Bossone, Eduardo ; Cooper, Jeanna V. ; Smith, Dean E. ; Menicanti, Lorenzo ; Frigiola, Alessandro ; Oh, Jae K. ; Deeb, Michael G. ; Isselbacher, Eric M. ; Eagle, Kim A. / Contemporary results of surgery in acute type a aortic dissection : The International Registry of Acute Aortic Dissection experience. In: Journal of Thoracic and Cardiovascular Surgery. 2005 ; Vol. 129, No. 1. pp. 112-122.
@article{d8364b65c76a4915b92f1d5ccfdca6a4,
title = "Contemporary results of surgery in acute type a aortic dissection: The International Registry of Acute Aortic Dissection experience",
abstract = "Surgical mortality for acute type A aortic dissection reported in different experiences from single centers or surgeons varies from 7{\%} to 30{\%}. The International Registry of Acute Aortic Dissection, collecting patients from 18 referral centers worldwide, identifies a preoperative risk stratification scheme and a real average surgical mortality for acute type A aortic dissection in the current era. A comprehensive analysis was completed of 290 clinical variables and their relationship to surgical outcomes in 526 of 1032 patients enrolled in the International Registry of Acute Aortic Dissection from 1996 through 2001. Extracted cases, categorized according to risk profile, were defined as unstable (group I) in the presence of cardiac tamponade; shock; congestive heart failure; cerebrovascular accident; stroke; coma; myocardial ischemia, infarction, or both; electrocardiograms with new Q waves or ST elevation; acute renal failure; or mesenteric ischemia-infarction at the time of the operation. Outside of an unstable condition, patients were categorized as stable (group II). The overall in-hospital mortality was 25.1{\%}. Mortality in group I was 31.4{\%} compared with 16.7{\%} in group II (P",
author = "Santi Trimarchi and Nienaber, {Christoph A.} and Vincenzo Rampoldi and Truls Myrmel and Toru Suzuki and Mehta, {Rajendra H.} and Eduardo Bossone and Cooper, {Jeanna V.} and Smith, {Dean E.} and Lorenzo Menicanti and Alessandro Frigiola and Oh, {Jae K.} and Deeb, {Michael G.} and Isselbacher, {Eric M.} and Eagle, {Kim A.}",
year = "2005",
month = "1",
doi = "10.1016/j.jtcvs.2004.09.005",
language = "English",
volume = "129",
pages = "112--122",
journal = "Journal of Thoracic and Cardiovascular Surgery",
issn = "0022-5223",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Contemporary results of surgery in acute type a aortic dissection

T2 - The International Registry of Acute Aortic Dissection experience

AU - Trimarchi, Santi

AU - Nienaber, Christoph A.

AU - Rampoldi, Vincenzo

AU - Myrmel, Truls

AU - Suzuki, Toru

AU - Mehta, Rajendra H.

AU - Bossone, Eduardo

AU - Cooper, Jeanna V.

AU - Smith, Dean E.

AU - Menicanti, Lorenzo

AU - Frigiola, Alessandro

AU - Oh, Jae K.

AU - Deeb, Michael G.

AU - Isselbacher, Eric M.

AU - Eagle, Kim A.

PY - 2005/1

Y1 - 2005/1

N2 - Surgical mortality for acute type A aortic dissection reported in different experiences from single centers or surgeons varies from 7% to 30%. The International Registry of Acute Aortic Dissection, collecting patients from 18 referral centers worldwide, identifies a preoperative risk stratification scheme and a real average surgical mortality for acute type A aortic dissection in the current era. A comprehensive analysis was completed of 290 clinical variables and their relationship to surgical outcomes in 526 of 1032 patients enrolled in the International Registry of Acute Aortic Dissection from 1996 through 2001. Extracted cases, categorized according to risk profile, were defined as unstable (group I) in the presence of cardiac tamponade; shock; congestive heart failure; cerebrovascular accident; stroke; coma; myocardial ischemia, infarction, or both; electrocardiograms with new Q waves or ST elevation; acute renal failure; or mesenteric ischemia-infarction at the time of the operation. Outside of an unstable condition, patients were categorized as stable (group II). The overall in-hospital mortality was 25.1%. Mortality in group I was 31.4% compared with 16.7% in group II (P

AB - Surgical mortality for acute type A aortic dissection reported in different experiences from single centers or surgeons varies from 7% to 30%. The International Registry of Acute Aortic Dissection, collecting patients from 18 referral centers worldwide, identifies a preoperative risk stratification scheme and a real average surgical mortality for acute type A aortic dissection in the current era. A comprehensive analysis was completed of 290 clinical variables and their relationship to surgical outcomes in 526 of 1032 patients enrolled in the International Registry of Acute Aortic Dissection from 1996 through 2001. Extracted cases, categorized according to risk profile, were defined as unstable (group I) in the presence of cardiac tamponade; shock; congestive heart failure; cerebrovascular accident; stroke; coma; myocardial ischemia, infarction, or both; electrocardiograms with new Q waves or ST elevation; acute renal failure; or mesenteric ischemia-infarction at the time of the operation. Outside of an unstable condition, patients were categorized as stable (group II). The overall in-hospital mortality was 25.1%. Mortality in group I was 31.4% compared with 16.7% in group II (P

UR - http://www.scopus.com/inward/record.url?scp=19944414614&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=19944414614&partnerID=8YFLogxK

U2 - 10.1016/j.jtcvs.2004.09.005

DO - 10.1016/j.jtcvs.2004.09.005

M3 - Article

VL - 129

SP - 112

EP - 122

JO - Journal of Thoracic and Cardiovascular Surgery

JF - Journal of Thoracic and Cardiovascular Surgery

SN - 0022-5223

IS - 1

ER -