Repair Versus Non-repair of the Aortic Arch in Type A Aortic Dissection

Launched by CENTRE CARDIOLOGIQUE DU NORD · Jun 20, 2023

Keywords

ClinConnect Summary

Substantial evidence has suggested a decrease of early mortality during the last years, however recently the Nordic Consortium for Acute Type A Aortic Dissection registry recorded 18% of 30-day mortality after surgery for ATAAD. Similarly, the prospective German Registry for Acute Aortic Dissection Type A confirmed this data reporting a 30-day mortality of 16.9%. Again, results from recent analysis of the Society of Thoracic Surgeon database that report 7353 procedures from 2014 and 2017 for acute TAAD revealed a 30-day mortality of 17%. Understanding the balance between the patient's condi...

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Eligibility criteria

• Inclusion Criteria:
• • Patients aged \> 18 years
• • TAAD or intramural hematoma involving the ascending aorta
• • Symptoms started within 7 days from surgery
• • Primary surgical repair of acute TAAD
• • Any other major cardiac surgical procedure concomitant with surgery for TAAD.
• Exclusion Criteria:
• • Patients aged \< 18 years
• • Onset of symptoms \> 7 days from surgery
• • Prior procedure for TAAD
• • Concomitant endocarditis;
• • TAAD secondary to blunt or penetrating chest trauma.