Outcomes of contemporary emergency open surgery for type A acute aortic dissection in elderly patients

Abstract

Emergency open surgery for type A acute aortic dissection in elderly patients resulted in a low mortality but high incidences of stroke and prolonged hospital stay. Preoperative cardiopulmonary resuscitation and previous cardiac surgery were significant predictors of stroke. Emergency surgery is still the primary option for most elderly patients with acute aortic dissection.

Gender differences in patients undergoing surgery for acute type A aortic dissection

“…22,23 Elderly patients with AAAD have more comorbidity and a more fragile aorta than nonelderly patients. However, we did not find that emergency open surgery for AAAD in elderly patients resulted in high mortality, 24 perhaps because of our high surgical volume and established efficient process of diagnosis and treatment in a single institute. Mehta and colleagues 20 pointed out that an aggressive and early surgical treatment is the only option to provide a reasonable chance of survival and prevent many complications.…”

Non‐elective cardiac surgery in octogenarians: Do these patients benefit in terms of clinical outcomes and quality of life?

“…The number of patients as well as the spectrum of cardiac procedures carried out was comparable with our study collective. Studies focusing on outcomes after surgery for acute type A aortic dissection in elderly patients reported in‐hospital mortality rates between 0 and 44.3% …”

“…Studies focusing on outcomes after surgery for acute type A aortic dissection in elderly patients reported in-hospital mortality rates between 0 and 44.3%. [17][18][19] All these publications show that further continuous improvement of perioperative management and surgical techniques is required to optimize operative outcomes of these high-risk patients. A maximum escalation of perioperative therapy does not seem to be beneficial for the very elderly though.…”

Surgical repair of Stanford type A aortic dissection in elderly patients: a contemporary systematic review and meta-analysis

“…A further screening of abstracts and full texts was conducted and a final sample of 18 studies considered relevant to our review (1,2,5,(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Of these, seven were excluded from the quantitative meta-analysis for different reasons.…”