Regional Practice Patterns and Outcomes of Surgery for Acute Type A Aortic Dissection.

ABSTRACT:

Background

The surgical management of acute type A aortic dissection is evolving, and many aortic centers of excellence are reporting superior outcomes. We hypothesize that similar trends exist in a multiinstitutional regional consortium.

Methods

Records for 884 consecutive patients who underwent aortic operations (2003 to 2015) for acute type A aortic dissection were extracted from a regional The Society of Thoracic Surgeons database. Patients were stratified into three equal operative eras. Differences in outcomes and risk factors for morbidity and mortality were determined.

Results

Surgical procedures for type A aortic dissection are increasing in extent and complexity. Aortic root repair was performed in 16% of early era cases compared with 67% currently (p < 0.00

SUBMITTER: Hawkins RB 

PROVIDER: S-EPMC5610067 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature