Key result
Surgical management of acute type A aortic dissection shows improving outcomes at specialized tertiary centers.
Prompt surgical replacement of the ascending aorta is a life-saving emergency intervention for acute type A aortic dissection.
May support referral of type A dissection to specialized centers; leaves open drivers of improvement in low-level data.
Acute type A aortic dissection is a catastrophic disease that develops from a tear within the intima of the aortic wall, thereby creating a false lumen in the ascending aorta. Early suspicion, diagnosis, and prompt surgery play a key role in the survival of patients. It is a surgical emergency and requires replacement of the ascending aorta/aortic root with or without aortic arch replacement. Over the past decade the surgical outcomes have improved in specialized tertiary centers.
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Nagaradona et al. (2021) conducted a review in Acute type A aortic dissection. Surgical management was evaluated. Surgical management of acute type A aortic dissection, including replacement of the ascending aorta or aortic root, has seen improved outcomes in specialized tertiary centers over the past decade.
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