Clinical presentation is the main predictor of in-hospital death for patients with acute type a aortic dissection admitted for surgical treatment: A 25 years experience

Santini, Francesco; Montalbano, Giuseppe; Casali, Gianluca; Messina, Antonio; Iafrancesco, Mauro; Luciani, Giovanni Battista; Rossi, Alberto; Mazzucco, Alessandro

doi:10.1016/j.ijcard.2006.03.013

Cited by 68 publications

(53 citation statements)

References 29 publications

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“…3,[7][8][9][10][11][12][13] In our study preoperative malperfusion was the only independent predictor of hospital death. Patients with preoperative malperfusion usually presented with a compromised limb circulation.…”

Section: Discussionsupporting

confidence: 56%

In-hospital mortality and three-year survival after repaired acute type A aortic dissection

Aalberts¹,

Boonstra²,

Berg³

et al. 2009

NHJL

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Background. The results of acute type A dissection (AAD) surgery in the Netherlands are largely unknown, as was recently stated in a report by the Health Council of the Netherlands. In order to gain more insight into the Dutch situation we investigated predictors of in-hospital mortality of surgically treated AAD patients and assessed threeyear survival.Methods. 104 consecutive patients undergoing surgery for AAD in a 16-year period (1990-2006) were evaluated. Preoperative and intraoperative variables were analysed to identify predictors of early mortality.Results. Preoperative malperfusion (limb ischaemia or mesenteric ischaemia) was present in 15.4%, shock in 18.3%, and 6.7% were operated under cardiac massage. Marfan syndrome was present in four patients and four patients had a bicuspid aortic valve. In-hospital mortality was 22.1%. Seven patients died intraoperatively; other causes of inhospital mortality were major brain damage in ten patients, multiple organ failure in three patients, low cardiac output in two patients and sudden cardiac death in one patient. Multivariate logistic regression revealed preoperative malperfusion (p=0.004) to be the only independent predictor of in-hospital mortality. Three-year survival was 68.8+/-4.7% (including hospital mortality). Hospital survivors had a three-year survival of 88.3+/-3.9%.Conclusion. In-hospital mortality of our patients (22.1%) is comparable with the results of larger case series published in the literature. Prognosis after successful surgical treatment is relatively good with a three-year survival of 88.3% in our series. (Neth Heart J 2009;17:226-31.).

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Section: Discussionsupporting

confidence: 56%

In-hospital mortality and three-year survival after repaired acute type A aortic dissection

Aalberts¹,

Boonstra²,

Berg³

et al. 2009

NHJL

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“…Several recent reports highlight the crucial role of preoperative malperfusion and ischaemia, localized or generalized as in shock, as predictors of adverse surgical outcome [9][10][11][12] . Specifically, the Penn classification of acute aortic dissection, based on preoperative ischaemic conditions, has recently been described 13,18 .…”

Section: Abstract Type a Dissection -Stanford Classification -Debakeymentioning

confidence: 99%

“…were Penn class Aa (absence of branch vessel malperfusion or circulatory collapse), 11 (19%) Penn class Ab and outcomes [10][11][12] . Two main single-centre studies have evaluated the validity of the Penn classification.…”

Section: According To Penn Classification 28 Patients (48%)mentioning

confidence: 99%

Penn classification in acute aortic dissection patients

et al. 2016

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“…En nuestro país, Selman et al, mediante un análisis retrospectivo, registraron una mortalidad operatoria de 27%, en 85 pacientes con DA tipo A 41 . Promedios similares se han publicado en otros reportes y alrededor de 55% de los pacientes retorna a su vida independiente [50][51][52][53] . Con respecto a la DA tipo B, el tratamiento va a depender de la presencia de complicaciones.…”

Section: Tratamientounclassified

Síndrome aórtico agudo: Revisión de la literatura y actualización del tema

Zamorano

et al. 2014

Rev. méd. Chile

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Clinical presentation is the main predictor of in-hospital death for patients with acute type a aortic dissection admitted for surgical treatment: A 25 years experience

Cited by 68 publications

References 29 publications

In-hospital mortality and three-year survival after repaired acute type A aortic dissection

In-hospital mortality and three-year survival after repaired acute type A aortic dissection

Penn classification in acute aortic dissection patients

Síndrome aórtico agudo: Revisión de la literatura y actualización del tema

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