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

被引：142

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 [J].

Augoustides, John G. T. ;

Szeto, Wilson Y. ;

Desai, Nimesh D. ;

Pochettino, Alberto ;

Cheung, Albert T. ;

Savino, Joseph S. ;

Bavaria, Joseph E. .

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 [J].

Bossone, E ;

Rampoldi, V ;

Nienaber, CA ;

Trimarchi, S ;

Ballotta, A ;

Cooper, JV ;

Smith, DE ;

Eagle, KA ;

Mehta, RH .

AMERICAN JOURNAL OF CARDIOLOGY, 2002, 89 (07) :851-855

[3] Acute Aortic Dissection in Blacks: Insights from the International Registry of Acute Aortic Dissection [J].

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. .

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) [J].

Conzelmann, Lars Oliver ;

Weigang, Ernst ;

Mehlhorn, Uwe ;

Abugameh, Ahmad ;

Hoffmann, Isabell ;

Blettner, Maria ;

Etz, Christian D. ;

Czerny, Martin ;

Vahl, Christian F. .

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 [J].

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. .

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? [J].

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 .

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 [J].

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 .

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 [J].

FANN, JI ;

SMITH, JA ;

MILLER, DC ;

MITCHELL, RS ;

MOORE, KA ;

GRUNKEMEIER, G ;

STINSON, EB ;

OYER, PE ;

REITZ, BA ;

SHUMWAY, NE .

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 [J].

Geirsson, Arnar ;

Bavaria, Joseph E. ;

Swarr, Daniel ;

Keane, Martin G. ;

Woo, Y. Joseph ;

Szeto, Wilson Y. ;

Pochettino, Alberto .

ANNALS OF THORACIC SURGERY, 2007, 84 (06) :1955-1964

← 1 2 3 4 →