2020
DOI: 10.1055/s-0040-1710002 View full text |Buy / Rent full text
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Abstract: Introduction Acute aortic dissection Type A (AADA) is still associated with a high mortality rate and frequent postoperative complications. This study was designed to evaluate the risk factors for mortality in AADA patients. Patients and Methods This retrospective analysis included 344 consecutive patients who underwent surgery for AADA in moderate hypothermic circulatory arrest (20–24°C nasopharyngeal) between 2001 and 2016. Results The 30-day mortality rate was 18%. Nonsurvivors were sign… Show more

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“…In our study, the overall 30-day mortality rate was 11.7%, which was consistent with recent similar studies of patients who received TAAD surgical repair therapy [ 2 , 3 , 8 ]. Considering type I AD is one of the most lethal diseases that requires instant complicated surgery, the mortality rate of our center was acceptable.…”
Section: Discussionsupporting
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“…In our study, the overall 30-day mortality rate was 11.7%, which was consistent with recent similar studies of patients who received TAAD surgical repair therapy [ 2 , 3 , 8 ]. Considering type I AD is one of the most lethal diseases that requires instant complicated surgery, the mortality rate of our center was acceptable.…”
Section: Discussionsupporting
“…In the past 10 years, with the advancement of surgical technology, the mortality rate during type A AD (TAAD) surgery has been greatly reduced from 23.2 to 4.9% [ 2 8 ]. However, compared to type II AD, patients diagnosed with type I AD still suffered more perioperative complications such as intestinal malperfusion, postoperative acute kidney injury (AKI) [ 3 , 9 , 10 ] and 30-day mortality rate. Nevertheless, the risk factors for 30-day mortality in type I AD had not been well determined.…”
Section: Introductionmentioning
“…The authors hypothesized that glycated cross-links in aortic tissue may play a protective role in the progression of aortic diseases [21]. The previously published analysis of our database suggested that mortality was multifactorial and especially age, previous cardiac surgery, preoperative cardiopulmonary resuscitation, blood transfusion, and postoperative renal failure were considered risk factors [6].…”
Section: Discussionmentioning
“…Emergent surgical repair remains the gold standard of care. Due to acuity of the illness preoperative evaluation is limited, immediate decisions have to be made by surgeons and postoperative adverse clinical outcome remains oftentimes of concern [1][2][3][4][5][6][7][8]. Without treatment mortality increases dramatically by the hour and has been reported as high as 1 to 3% per hour during the first 24 h, 30% after one week, 80% after two weeks, and 90% at one year [9].…”
Section: Introductionmentioning
“…Studies of the effect of patient age on the outcomes of ATAAD treated by Sun’s procedure have also produced conflicting results. 9 11 In this single-center retrospective study, we investigated the early outcomes of Sun’s procedure in elderly patients with ATAAD.…”
Section: Introductionmentioning