Prompt surgery is effective for acute type A aortic dissection with cerebral ischemia.

ABSTRACT:

Background

Acute type A aortic dissection (aTAAD) with preoperative cerebral ischemia (CI) is common and lethal, but the timing and treatment method remain uncertain. We retrospectively reviewed our aTAAD patients with CI and analyzed the outcomes and related risk factors.

Methods

From January 2011 to December 2019, 1,173 patients diagnosed with aTAAD from Nanjing Drum Tower Hospital were enrolled. Among them, 131 patients had CI preoperatively (CI group), and 1,042 patients were in the non-CI group. One hundred eight in the CI group and 984 in the non-CI group received central repair surgery. Fifteen patients had postoperative cerebral complications (CC) and 93 had non-CCs. ROC curves were used to identify the safe duration of preoperative CI.

Results

The CI group wa

SUBMITTER: Xue Y 

PROVIDER: S-EPMC8024860 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature