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

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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    Trimarchi, S., Nienaber, C. A., Rampoldi, V., Myrmel, T., Suzuki, T., Mehta, R. H., Bossone, E., Cooper, J. V., Smith, D. E., Menicanti, L., Frigiola, A., Oh, J. K., Deeb, M. G., Isselbacher, E. M., & Eagle, K. A. (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, 129(1), 112-122. https://doi.org/10.1016/j.jtcvs.2004.09.005