Rewarming strategy and neuromonitoring are significant details in neurological outcome after surgical repair of type A aortic dissection

Borojević, Marko; Šafradin, Ivica; Vrljic, Dubravka; Biočina, Bojan

doi:10.1093/ejcts/ezt047

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2018

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“…30 Furthermore, oxygen desaturation in the jugular bulb is a risk factor for postoperative neurocognitive dysfunction. 31 In short, the timing and expediency of surgery, the standardization of the operative technique, the use of cerebral protection strategies, and the surgeon's expertise based on high-volume training should be considered the major areas of improvements in AAAD treatment.…”

Section: Discussionmentioning

confidence: 99%

Current hospital mortality, neurological deficit, and mid-term survival after surgery for acute type A aortic dissection in Argentina

Borracci

Baldi

Yñon

et al. 2018

Archivos de Cardiología de México

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Although the present results do not reach international standards, AAAD surgery in our institution was associated with an acceptable mortality risk and satisfactory mid-term survival compared with previous local studies. In addition to in-hospital mortality, the incidence of new permanent neurological deficit after surgery must be considered the most devastating complication to avoid. Patient-focused care in referral aortic centers with surgery performed by specialized teams should be encouraged in order to improve surgical outcomes in acute aortic dissection surgery in Argentina.

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Section: Discussionmentioning

confidence: 99%