Transapical total aortic arch replacement with three-branched endograft for penetrating aortic ulcer

Lorenz, Veronica; Ricci, Carmelo; Cini, Marco; Candeloro, Laura; Tommasino, Giulio; Muzzi, Luigi; Tucci, Enrico; Neri, Eugénio

doi:10.1016/j.jvscit.2023.101093

Cited by 1 publication

(2 citation statements)

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“…Despite the progressive improvements in terms of outcome and quality of life post-intervention for type A aortic dissection (TAAD), the results are still not satisfactory [1][2][3] and, as described by David, TAAD is still often lethal unless emergency surgery is performed. 4 In the context of technical and procedural advances that increasingly require the use of endovascular prostheses, 5,6 preoperative risk assessment is a topic of fundamental importance in planning the optimal surgical approach.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of current mortality risk scores for acute type A aortic dissection: The Siena experience

Lorenz,

Muzzi,

Neri

2024

Asian Cardiovasc Thorac Ann

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Objective In literature, various risk scores have been described to predict in-hospital mortality of patients undergoing surgery for acute type A dissection. We want to evaluate which factors are most correlated with a negative outcome and testing the validity of the current scores in literature analyzing our experience of over 20 years in the surgery of type A aortic dissections. Materials and methods A total of 324 patients were included in the study. Patients were divided into two groups according to 30-day survival or mortality. The preoperative variables analyzed are the parameters necessary for the calculation of scores: Penn Classification, Leipzig Halifax and adjusted Leipzig Halifax score, GERAADA score and EuroSCORE II. Intra- and post-operative mortality were 10.2% and 17.5%, respectively. In multivariate analysis, the preoperative predictors of 30-day mortality were age greater than 70 years, low eject fraction levels, visceral and coronary malperfusion. Both GERAADA and EuroSCORE II were statistically significant predictors of 30-day mortality. However, EuroSCORE II underestimates the mortality compared to GERAADA score probably due to the lack of evaluation of fundamental preoperative factors in the course of type A aortic dissection. Results The study has demonstrated the efficacy of the GERAADA score in predicting the outcome of patients undergoing surgery and the underestimation of the mortality of EuroSCORE II in our population.

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Section: Introductionmentioning

confidence: 99%

“…In the context of technical and procedural advances that increasingly require the use of endovascular prostheses, 5,6 preoperative risk assessment is a topic of fundamental importance in planning the optimal surgical approach.…”

Section: Introductionmentioning

confidence: 99%