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July 1, 2016Annals of Cardiothoracic Surgery193 citationsOpen Access

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

PBPaolo BerrettaHPHimanshu J. PatelTGThomas G. Gleason

Structured PICO

What are the outcomes and predictors of mortality in patients undergoing surgical repair for Type A acute aortic dissection in the IRAD registry?

P
Population
Patients with Type A acute aortic dissection (TAAD) from the International Registry of Acute Aortic Dissection (IRAD)
I
Intervention
Surgical repair
O
Outcome
Outcomes of TAAD surgery including early mortalityhard clinical

This review highlights that despite medical and surgical advancements, early mortality for surgical repair of Type A acute aortic dissection remains high at 17-26% based on IRAD data.

Abstract

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.

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Cite This Study

Berretta et al. (2016) studied this question.

synapsesocial.com/papers/6a0167788dc8a5ab6946165chttps://doi.org/10.21037/acs.2016.05.10
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Surgical Management of Aortic Dissection During a 30-Year Period1995 · 433 citations
  2. 2Does malperfusion syndrome affect early and mid-term outcome in patients suffering from acute type A aortic dissection?2006 · 46 citations
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  4. 4Results of Immediate Surgical Treatment of All Acute Type A Dissections2000 · 113 citations
  5. 5Sensitivity of the Aortic Dissection Detection Risk Score, a Novel Guideline-based Tool for Identification of Acute Aortic Dissection at Initial Presentation. Results from the International Registry of Acute Aortic Dissection2011 · 33 citations