Impact of coronary artery involvement on mortality in patients with acute type A aortic dissection: results from a large-scale cohort study.

ABSTRACT:

Background

Understanding the type and extent of coronary artery involvement in patients with acute type A aortic dissection (ATAAD) is vital for surgical planning. The Neri classification has been proposed as a guide for surgical strategies, however, its prognostic impact on postoperative mortality rates remains understudied in large-scale cohorts.

Methods

We reviewed 600 ATAAD patients who underwent surgery and coronary computed tomography angiography from 2016 to 2020 at Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. Patients were classified based on the Neri classification system: no coronary artery involvement, type A (ostial involvement), type B (dissection in coronary bo

SUBMITTER: Wang YL 

PROVIDER: S-EPMC12747827 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature