IRAD experience on surgical type A acute dissection patients: results and predictors of mortality

被引：133

作者：

Berretta, Paolo ^{[1
]}

Patel, Himanshu J. ^{[2
]}

Gleason, Thomas G. ^{[3
]}

Sundt, Thoralf M. ^{[4
]}

Myrmel, Truls ^{[5
]}

Desai, Nimesh ^{[6
]}

Korach, Amit ^{[7
]}

Panza, Antonello ^{[8
]}

Bavaria, Joe ^{[6
]}

Khoynezhad, Ali ^{[9
]}

Woznicki, Elise ^{[10
]}

Montgomery, Dan ^{[10
]}

Isselbacher, Eric M. ^{[4
]}

Di Bartolomeo, Roberto ^{[11
]}

Fattori, Rossella ^{[12
]}

Nienaber, Christoph A. ^{[13
]}

Eagle, Kim A. ^{[10
]}

Trimarchi, Santi ^{[14
]}

Di Eusanio, Marco ^{[1
]}

机构：

[1] G Mazzini Hosp, Div Cardiac Surg, Teramo, Italy

[2] Univ Michigan Hlth Syst, Cardiac Surg, Ann Arbor, MI USA

[3] Univ Pittsburgh, Div Cardiothorac Surg, Pittsburgh, PA USA

[4] Massachusetts Gen Hosp, Thorac Aort Ctr, Boston, MA 02114 USA

[5] Univ Tromso Hosp, Dept Thorac & Cardiovasc Surg, Tromso, Norway

[6] Univ Penn, Sch Med, Div Cardiovasc Surg, Philadelphia, PA 19104 USA

[7] Hadassah Hebrew Univ Med Ctr, Dept Cardiothorac Surg, Jerusalem, Israel

[8] Univ Hosp San Giovanni di Dio & Ruggi dAragona, Dept Cardiol & Cardiac Surg, Salerno, Italy

[9] Cedars Sinai Med Ctr, Div Cardiothorac Surg, Los Angeles, CA 90048 USA

[10] Univ Michigan Hlth Syst, Cardiovasc Ctr, Ann Arbor, MI USA

[11] Univ Bologna, S Orsola Malpighi Hosp, Dept Cardiac Surg, I-40126 Bologna, Italy

[12] San Salvatore Hosp, Intervent Cardiol Unit, Pesaro, Italy

[13] Royal Brompton & Harefield NHS Trust, Cardiol & Aort Ctr, London, England

[14] IRCCS Policlin San Donato, Thorac Aort Res Ctr, San Donato Milanese, Italy

来源：

ANNALS OF CARDIOTHORACIC SURGERY | 2016年 / 5卷 / 04期

关键词：

Type A aortic dissection; aorta; international registry of acute aortic dissection (IRAD); aortic surgery; ACUTE-AORTIC-DISSECTION; INTERNATIONAL-REGISTRY; CLINICAL CHARACTERISTICS; ROOT REPLACEMENT; RISK-FACTORS; MANAGEMENT; OUTCOMES; REPAIR; MALPERFUSION; INSIGHTS;

D O I：

10.21037/acs.2016.05.10

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Type A acute aortic dissection (TAAD) is a disease that has a catastrophic impact on a patient's life and emergent surgery represents a key goal of early treatment. Despite continuous improvements in imaging techniques, medical therapy and surgical management, early mortality in patients undergoing TAAD repair still remains high, ranging from 17% to 26%. In this setting, the International Registry of Acute Aortic Dissection (IRAD), the largest worldwide registry for acute aortic dissection, was established to assess clinical characteristics, management and outcomes of TAAD patients. The present review aimed to evaluate and comment on outcomes of TAAD surgery as reported from IRAD series.

引用

页码：346 / 351

页数：6

共 38 条

[1] Classification of acute type a dissection: focus on clinical presentation and extent
Augoustides, John G. T.
Szeto, Wilson Y.
Desai, Nimesh D.
Pochettino, Alberto
Cheung, Albert T.
Savino, Joseph S.
Bavaria, Joseph E.
[J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2011, 39 (04) : 519 - 522
[2] Usefulness of pulse deficit to predict in-hospital complications and mortality in patients with acute type A aortic dissection
Bossone, E
Rampoldi, V
Nienaber, CA
Trimarchi, S
Ballotta, A
Cooper, JV
Smith, DE
Eagle, KA
Mehta, RH
[J]. AMERICAN JOURNAL OF CARDIOLOGY, 2002, 89 (07) : 851 - 855
[3] Acute Aortic Dissection in Blacks: Insights from the International Registry of Acute Aortic Dissection
Bossone, Eduardo
Pyeritz, Reed E.
O'Gara, Patrick
Harris, Kevin M.
Braverman, Alan C.
Pape, Linda
Russo, Mark J.
Hughes, G. Chad
Tsai, Thomas T.
Montgomery, Daniel G.
Nienaber, Christoph A.
Isselbacher, Eric M.
Eagle, Kim A.
[J]. AMERICAN JOURNAL OF MEDICINE, 2013, 126 (10) : 909 - 915
[4] Mortality in patients with acute aortic dissection type A: analysis of pre- and intraoperative risk factors from the German Registry for Acute Aortic Dissection Type A (GERAADA)
Conzelmann, Lars Oliver
Weigang, Ernst
Mehlhorn, Uwe
Abugameh, Ahmad
Hoffmann, Isabell
Blettner, Maria
Etz, Christian D.
Czerny, Martin
Vahl, Christian F.
[J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2016, 49 (02) : e44 - e52
[5] Root Replacement Surgery Versus More Conservative Management During Type A Acute Aortic Dissection Repair
Di Eusanio, Marco
Trimarchi, Santi
Peterson, Mark D.
Myrmel, Truls
Hughes, G. Chad
Korach, Amit
Sundt, Thoralf M.
Di Bartolomeo, Roberto
Greason, Kevin
Khoynezhad, Ali
Appoo, Jehangir J.
Folesani, Gianluca
De Vincentiis, Carlo
Montgomery, Daniel G.
Isselbacher, Eric M.
Eagle, Kim A.
Nienaber, Christoph A.
Patel, Himanshu J.
[J]. ANNALS OF THORACIC SURGERY, 2014, 98 (06) : 2078 - 2085
[6] Patients with type A acute aortic dissection presenting with major brain injury: Should we operate on them?
Di Eusanio, Marco
Patel, Himanshu J.
Nienaber, Christoph A.
Montgomery, Daniel M.
Korach, Amit
Sundt, Thoralf M.
DeVincentiis, Carlo
Voehringer, Matthias
Peterson, Mark D.
Myrmel, Truls
Folesani, Gianluca
Larsen, Magnus
Desai, Nimesh D.
Bavaria, Joseph E.
Appoo, Jehangir J.
Kieser, Teresa M.
Fattori, Rossella
Eagle, Kim
Di Bartolomeo, Roberto
Trimarchi, Santi
[J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2013, 145 (03) : S213 - +
[7] Clinical presentation, management, and short-term outcome of patients with type A acute dissection complicated by mesenteric malperfusion: Observations from the International Registry of Acute Aortic Dissection
Di Eusanio, Marco
Trimarchi, Santi
Patel, Himanshu J.
Hutchison, Stuart
Suzuki, Toru
Peterson, Mark D.
Di Bartolomeo, Roberto
Folesani, Gianluca
Pyeritz, Reed E.
Braverman, Alan C.
Montgomery, Daniel G.
Isselbacher, Eric M.
Nienaber, Christoph A.
Eagle, Kim A.
Fattori, Rossella
[J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2013, 145 (02) : 385 - U417
[8] Ehrlich MP, 2000, CIRCULATION, V102, P248
[9] SURGICAL-MANAGEMENT OF AORTIC DISSECTION DURING A 30-YEAR PERIOD
FANN, JI
SMITH, JA
MILLER, DC
MITCHELL, RS
MOORE, KA
GRUNKEMEIER, G
STINSON, EB
OYER, PE
REITZ, BA
SHUMWAY, NE
[J]. CIRCULATION, 1995, 92 (09) : 113 - 121
[10] Fate of the residual distal and proximal aorta after acute type a dissection repair using a contemporary surgical reconstruction algorithm
Geirsson, Arnar
Bavaria, Joseph E.
Swarr, Daniel
Keane, Martin G.
Woo, Y. Joseph
Szeto, Wilson Y.
Pochettino, Alberto
[J]. ANNALS OF THORACIC SURGERY, 2007, 84 (06) : 1955 - 1964

← 1 2 3 4 →