2006
DOI: 10.1016/j.athoracsur.2006.05.065
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Is Surgery Always Mandatory for Type A Aortic Dissection?

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Cited by 67 publications
(48 citation statements)
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“…In the subgroup of patients with diagnosis of aortic dissection, EM was 26%, and PND were 18%, in line with other report in literature. 2,[7][8][9][10][11] The finding that aortic dissection was a risk factor for both mortality, PND and NE was not unexpected, and it is in accord with the observations of others. 8,9,[12][13][14] An important result of this study was that in the follow-up neurocognitive analysis did not show worse postoperative impairment in cognitive, psychological and neurological functions in the case of dissection compared to non-dissection.…”
Section: Discussionsupporting
confidence: 77%
“…In the subgroup of patients with diagnosis of aortic dissection, EM was 26%, and PND were 18%, in line with other report in literature. 2,[7][8][9][10][11] The finding that aortic dissection was a risk factor for both mortality, PND and NE was not unexpected, and it is in accord with the observations of others. 8,9,[12][13][14] An important result of this study was that in the follow-up neurocognitive analysis did not show worse postoperative impairment in cognitive, psychological and neurological functions in the case of dissection compared to non-dissection.…”
Section: Discussionsupporting
confidence: 77%
“…[8][9][10]12,13,[15][16][17] We found, however, preoperative shock, preoperative limb ischemia, concomitant CABG, and postoperative renal failure to be the only risk factors for PMV after surgery for AAAD. In fact, preoperative shock is reported to increase mortality in patients with AAAD, 21 and an initial systolic BP of <100mmHg is reported in approximately 25% of patients with aortic dissection. 22 Pararajasingam et al reported that shock, hypovolemia, aortic cross-clamping, and ischemia reperfusion injury can cause non-cardiogenic acute lung injury in vascular surgery patients via activation of the systemic inflammation response.…”
Section: Discussionmentioning
confidence: 99%
“…Several studies have shown that patients with PCS have higher in-hospital mortality after aortic repair. [9][10][11][12] Centofanti et al 9 created a multivariate prediction model for 30-day mortality after surgery for aortic dissection. In addition to PCS, independent predictors of 30-day mortality included shock, coma, advanced age, and renal failure.…”
Section: Discussionmentioning
confidence: 99%