Key result
The valve-sparing David I procedure for acute aortic type A dissection resulted in a 10-year survival rate of 78%, showing no significant difference compared to elective procedures (P=0.29).
Why the study?
Does the valve-sparing David I procedure provide acceptable long-term survival and freedom from reoperation in patients with acute aortic dissection type A compared to elective settings?
Population
109 patients with acute aortic dissection type A (AADA), mean age 54 ± 12 years, 72% male.
Comparison
Valve-sparing David I procedure vs Patients who underwent the David I procedure for…
Design
Cohort
Follow-up
mean 8.3 ± 5.7 years
Authors
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Comparable long-term outcomes after David I in AADA versus elective settings; hypothesis-generating and requires prospective validation.
Cohort (n=109)
No
Does the valve-sparing David I procedure provide acceptable long-term survival and freedom from reoperation in patients with acute aortic dissection type A compared to elective settings?
p-value: p=0.29
The valve-sparing David I procedure demonstrates acceptable long-term survival and freedom from reoperation in acute type A aortic dissection, comparable to outcomes in elective settings.
Beckmann et al. (2017) conducted a cohort in Acute aortic dissection type A (AADA) (n=109). Valve-sparing David I procedure vs. Patients who underwent the David I procedure for any reason other than AADA (elective settings) was evaluated on Long-term survival rates (p=0.29). The valve-sparing David I procedure for acute aortic type A dissection resulted in a 10-year survival rate of 78%, showing no significant difference compared to elective procedures (P=0.29).
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