Key result
Surgery for acute type A aortic dissection in septuagenarians resulted in a 71% overall survival rate and a 37.5% rate of permanent neurological dysfunction.
Why the study?
Does surgery improve survival and neurological outcomes in septuagenarians with acute type A aortic dissection?
Population
24 patients > 70 years undergoing surgery for acute type A aortic dissection. 46% had previous neurological…
Design
Case_series
Authors
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Surgery carries high neurological risk in septuagenarians; leaves open net benefit versus medical management.
Cohort (n=24)
Does surgery improve survival and neurological outcomes in septuagenarians with acute type A aortic dissection?
Surgery for acute type A aortic dissection in septuagenarians is feasible with acceptable survival (71%), though neurological complications remain high and may be mitigated by selective antegrade cerebral perfusion.
Shrestha et al. (2008) conducted a cohort in Acute type A aortic dissection (n=24). Surgery for acute type A aortic dissection was evaluated on Mortality and neurological complications. Surgery for acute type A aortic dissection in septuagenarians resulted in a 71% overall survival rate and a 37.5% rate of permanent neurological dysfunction.
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