Article Abstract

IRAD experience on surgical type A acute dissection patients: results and predictors of mortality

Authors: Paolo Berretta, Himanshu J. Patel, Thomas G. Gleason, Thoralf M. Sundt, Truls Myrmel, Nimesh Desai, Amit Korach, Antonello Panza, Joe Bavaria, Ali Khoynezhad, Elise Woznicki, Dan Montgomery, Eric M. Isselbacher, Roberto Di Bartolomeo, Rossella Fattori, Christoph A. Nienaber, Kim A. Eagle, Santi Trimarchi, Marco Di Eusanio

Abstract

Type A acute aortic dissection (TAAD) is a disease that has a catastrophic impact on a patient’s life and emergent surgery represents a key goal of early treatment. Despite continuous improvements in imaging techniques, medical therapy and surgical management, early mortality in patients undergoing TAAD repair still remains high, ranging from 17% to 26%. In this setting, the International Registry of Acute Aortic Dissection (IRAD), the largest worldwide registry for acute aortic dissection, was established to assess clinical characteristics, management and outcomes of TAAD patients. The present review aimed to evaluate and comment on outcomes of TAAD surgery as reported from IRAD series.