Outcomes of acute type A aortic dissection repair in patients under the age of 75 versus 75 and older.

• Tác giả: Danial Ahmad, Johannes Bonatti, James A Brown, Danny Chu, Theresa Gelzinis, Reyna Jones, Rama Joshi, David Kaczorowski, Julie Phillippi, Derek Serna-Gallegos, Kathirvel Subramaniam, Ibrahim Sultan, Pyongsoo Yoon, Sarah Yousef, Jianhui Zhu
• Ngôn ngữ: eng
• Ký hiệu phân loại: 373.236 Lower level
• Thông tin xuất bản: England : Perfusion , 2025
• Bộ sưu tập: NCBI
• ID: 678386

Tóm tắt

 OBJECTIVE: Elderly patients are less likely to undergo surgery for an acute type A aortic dissection (ATAAD). This study aims to understand the risks of surgical treatment in patients 75 and older. METHODS: This was a retrospective study using an institutional database of patients who underwent ATAAD repair from 2007 to 2021. Outcomes were compared between patients <
 75 and patients RESULTS: A total of 601 patients underwent surgery for ATAAD, 112 (18.6%) of whom were ≥75. Patients ≥75 were significantly more likely to undergo hemiarch replacement (vs total arch replacement) and concomitant CABG. Operative mortality was 16.1% in patients ≥75 versus 10.2% in those <
 75 ( CONCLUSION: Despite reduced survival during the first postoperative year among patients 75 years and older, operative mortality and late survival were similar across each group. By implication, age alone should not be a deterrent to operative intervention in ATAAD patients, even though further investigation is needed to determine opportunities for improving survival during the first postoperative year after ATAAD repair.