Key result
Aortic valve preservation and repair in acute Type A aortic dissection was associated with a pooled early mortality of 18.7% and a linearized late mortality of 4.7% per patient-year.
Meta-Analysis (n=2,402)
Aortic valve preservation and repair in acute Type A aortic dissection is associated with a moderate risk of reoperation but a low risk of thromboembolism, bleeding, and endocarditis.
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Valve preservation may remain viable in selected acute Type A dissection; leaves open need for randomized trials versus replacement.
Saczkowski et al. (2014) conducted a meta-analysis in Acute Type A aortic dissection (n=2,402). Aortic valve preservation and repair was evaluated on Early mortality (95% CI 12.2-26.2). Aortic valve preservation and repair in acute Type A aortic dissection was associated with a pooled early mortality of 18.7% and a linearized late mortality of 4.7% per patient-year.
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