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November 7, 2000Circulation

Results of Immediate Surgical Treatment of All Acute Type A Dissections

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Population

124 consecutive patients with acute type A aortic dissection, median age 62 years, 89 men.

Design

Cohort

Follow-up

median 41 months

Authors

MEMarek EhrlichMEM. Arisan ErginJMJock N. McCullough

Discussion

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Overview

Older patients with hemodynamic compromise face higher perioperative mortality after type A dissection repair; leaves open need for prospective risk-stratified trials.

Structured PICO

P
Population
124 consecutive patients with acute type A aortic dissection, median age 62 years, 89 men.
I
Intervention
Immediate surgical treatment with resection of the intimal tear and open distal anastomosis (using hypothermic circulatory arrest).
O
Outcome
Hospital mortalityhard clinical

Immediate surgical treatment of acute type A aortic dissection yields acceptable early mortality and excellent long-term survival, though older age and hemodynamic compromise increase perioperative risk.

Cite This Study

Ehrlich et al. (2000) studied this question.

synapsesocial.com/papers/6a7550ee375b1f3d8cdbe307https://doi.org/10.1161/circ.102.suppl_3.iii-248
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