Differences among sexes in presentation and outcomes in acute type A aortic dissection repair.

ABSTRACT:

Objective

Female sex is a known risk factor in most cardiac surgery, including coronary and valve surgery, but unknown in acute type A aortic dissection repair.

Methods

From 1996 to 2018, 650 patients underwent acute type A aortic dissection repair; 206 (32%) were female, and 444 (68%) were male. Data were collected through the Cardiac Surgery Data Warehouse, medical record review, and National Death Index database.

Results

Compared with men, women were significantly older (65 vs 57 years, P < .0001). The proportion of women and men inverted with increasing age, with 23% of patients aged less than 50 years and 65% of patients aged 80 years or older being female. Women had significantly less chronic renal failure (2.0% vs 5.4%, P = .04), acute myocardial infarction (1.

SUBMITTER: Norton EL 

PROVIDER: S-EPMC8478983 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature