Key result
Postoperative acute renal failure and renal replacement therapy represent significant risk factors for poor short-, mid-, and long-term outcomes after acute type A aortic dissection repair.
Highlights the clinical significance of postoperative acute renal failure after ATAAD repair and the need for optimized perioperative renal protective strategies.
Acute type A aortic dissection (ATAAD) is a life-threatening aortic disease. Many systems and organs are affected by malperfusion which presents preoperatively and postoperatively. Postoperative acute renal failure after ATAAD constitutes a severe and insidious complication. Acute renal damage is observed in many patients with ATAAD preoperatively and it burdens the renal function postoperatively. Renal replacement therapy represents an additional risk factor for short-, mid-, and long-term outcomes after ATAAD repair. Brown et al.'s present study highlight the clinical significance of this complication. Also, they remind us of the importance of optimizing perioperative renal protective strategies in patients undergoing ATAAD repair.
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Samanidis et al. (2022) conducted an editorial in Acute type A aortic dissection (ATAAD). Postoperative acute renal failure was evaluated. Postoperative acute renal failure and renal replacement therapy represent significant risk factors for poor short-, mid-, and long-term outcomes after acute type A aortic dissection repair.
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