scholarly journals Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience

2005 ◽  
Vol 129 (1) ◽  
pp. 112-122 ◽  
Author(s):  
Santi Trimarchi ◽  
Christoph A. Nienaber ◽  
Vincenzo Rampoldi ◽  
Truls Myrmel ◽  
Toru Suzuki ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
International Registry ◽  
Results Of Surgery

Operative Strategies and Outcomes in Type a Aortic Dissection after the Enactment of a Multidisciplinary Aortic Surgery Team

2015 ◽  
Vol 10 (6) ◽  
pp. 410-415 ◽  
Author(s):  
Jared P. Beller ◽  
Joshua A. Scheinerman ◽  
Leora B. Balsam ◽  
Patricia Ursomanno ◽  
Abe DeAnda
Keyword(s):  
Aortic Dissection ◽  
Patient Outcomes ◽  
Acute Aortic Dissection ◽  
Operative Mortality ◽  
Aortic Surgery ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
International Registry ◽  
Operative Strategies

Objective The purpose of this study was to compare operative strategies and patient outcomes in acute type A aortic dissection (ATAAD) repairs before and after the implementation of a multi-disciplinary aortic surgery team. Methods Between May 2005 and July 2014, 101 patients underwent ATAAD repair at our institution. A dedicated multidisciplinary aortic surgery team (experienced aortic surgeon, perfusionists, cardiac anesthesiologists, nurses, and radiologists) was formed in 2010. We retrospectively compared ATAAD repair outcomes in patients before (2005–2009, N = 39) and after (2010–2014, N = 62) implementation of our program. Expected operative mortality was calculated using the International Registry of Acute Aortic Dissection preoperative predictive model. Results This study demonstrated a significant reduction in operative mortality after implementation of the aortic surgery program (30.8% vs. 9.7%; P = 0.014). There was also an increase in the complexity of surgical technique and perfusion strategies with fewer postoperative complications related to respiratory (P < 0.0001) and renal failure (P = 0.034). Baseline demographics were similar, and there was no statistically significant difference in International Registry of Acute Aortic Dissection predictive variables between the 2 groups. However, there was a 3.5-fold reduction in the observed-to-expected (O/E) operative mortality ratio. There was a 50% increase in volume with a significant number of patients being admitted directly to our aortic center for ATAAD repair, thus avoiding delay in operation related to transfers from a secondary hospital. Conclusions Patient outcomes are improved when the surgical treatment of ATAAD is managed by a high-volume multidisciplinary aortic surgery team.

scholarly journals Role of age in acute type A aortic dissection outcome: Report from the International Registry of Acute Aortic Dissection (IRAD)

2010 ◽  
Vol 140 (4) ◽  
pp. 784-789 ◽  
Author(s):  
Santi Trimarchi ◽  
Kim A. Eagle ◽  
Christoph A. Nienaber ◽  
Vincenzo Rampoldi ◽  
Frederik H.W. Jonker ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
International Registry
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