![]() Surprisingly, the mortality risk for young AoD patients is not lower than older AoD patients. 24%, p = NS), irrespective of the site of dissection.Ĭompared with older patients with AoD, young patients have unique risk factors for dissection: Marfan syndrome, bicuspid aortic valves, and larger aortic dimensions. We sought to determine the impact of differing degrees of hypothermia in patients undergoing acute dissection repair. Sixty-eight patients (7%) with AoD were or=40 years, younger patients were less likely to have a prior history of hypertension (p or=40 years of age (22% vs. Background: The optimal strategy for cerebral protection during repair of type A acute aortic dissection (TAAAD) has yet to be determined. Two categories of patients, or=40 years, were compared using chi-square cross tabulations for categorical and Student t test for continuous data. The peak incidence was observed around age 60 years. 1 When IRAD started in 1996, thoracic endovascular aortic repair (TEVAR) was in its early stages. Knowledge of significant risk factors for operative mortality can contribute to better management and a more defined risk assessment in patients affected by acute type A aortic dissection.The goal of this study was to better characterize the young patient with aortic dissection (AoD).Īortic dissection is unusual in young patients, and frequently associated with unusual presentations.ĭata were collected on 951 patients diagnosed with AoD between January 1996 and November 2001. In the International Registry of Acute Aortic Dissection (IRAD), two-thirds of patients presented with type A thoracic aortic dissection and one-third with type B thoracic aortic dissection. The International Registry of Acute Aortic Dissection (IRAD) aims to provide insight into the presentation, management, and outcomes of patients with acute aortic dissection. ![]() The International Registry of Acute Aortic Dissection experience confirms that patient selection plays an important role in determining surgical outcomes in patients with acute type A aortic dissection. IRAD: Registry for Acute Aortic Dissection - Clinical Trial What is the Purpose of this Study Who Can Participate in the Study What is Involved Study. ![]() cardio-aortic surgery, thoracic aortic surgery, aortic dissection, aortic. Independent preoperative predictors of operative mortality were history of aortic valve replacement (odds ratio = 3.12), migrating chest pain (odds ratio = 2.77), hypotension as sign of acute type A aortic dissection (odds ratio = 1.95), shock or tamponade (odds ratio = 2.69), preoperative cardiac tamponade (odds ratio = 2.22), and preoperative limb ischemia (odds ratio = 2.10). Registry Steering Committee (2017-2020) and an International Councilor of the. We sought to determine sex-specific operative approaches and outcomes for TAAD in the current era. Cerebral protection during surgery for acute aortic dissection type A: Results of the German Registry for Acute Aortic Dissection Type A (GERAADA) Circulation. Mortality in group I was 31.4% compared with 16.7% in group II ( P <. Background: Worse outcomes have been reported for women with type A acute aortic dissection (TAAD). Kruger T., Weigang E., Hoffmann I., Blettner M., Aebert H. The overall in-hospital mortality was 25.1%. Outside of an unstable condition, patients were categorized as stable (group II). We used data from a contemporary registry of acute type B aortic dissection to better understand factors associated with adverse long-term survival. Extracted cases, categorized according to risk profile, were defined as unstable (group I) in the presence of cardiac tamponade shock congestive heart failure cerebrovascular accident stroke coma myocardial ischemia, infarction, or both electrocardiograms with new Q waves or ST elevation acute renal failure or mesenteric ischemia-infarction at the time of the operation. The International Registry of Acute Aortic Dissection, collecting patients from 18 referral centers worldwide, identifies a preoperative risk stratification scheme and a real average surgical mortality for acute type A aortic dissection in the current era.Ī comprehensive analysis was completed of 290 clinical variables and their relationship to surgical outcomes in 526 of 1032 patients enrolled in the International Registry of Acute Aortic Dissection from 1996 through 2001. Surgical mortality for acute type A aortic dissection reported in different experiences from single centers or surgeons varies from 7% to 30%. ABSTRACT: Acute aortic dissection (AAD) is a life-threatening condition associated with high morbidity and mortality rates, and it remains a challenge to diagnose and treat.
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