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Determinants of outcomes following surgery for type A acute aortic dissection: the UK National Adult Cardiac Surgical Audit

Tuesday, September 14, 2021

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Umberto Benedetto, Arnaldo Dimagli, Amit Kaura, Mrcp, Shubhra Sinha, Giovanni Mariscalco, George Krasopoulos, Narain Moorjani, Mark Field, Trivedi Uday, Simon Kendal, Graham Cooper, Rakesh Uppal, Haris Bilal, Jorge Mascaro, Andrew Goodwin, Gianni Angelini, Geoffry Tsang, Enoch Akowuah, on the behalf of UK Aortic group

Based on data of 4203 patients with acute type A dissection in the UK National Adult Cardiac Surgical Audit, Benedetto and associates have identified the following risk factors for operative mortality: age (odds ratio, OR, 1.02), malperfusion (OR 1.79), left ventricular ejection fraction (moderate: OR 1.40; poor: OR 2.83), prior cardiac surgery (OR 2.29), preoperative mechanical ventilation (OR 2.76), preoperative resuscitation (OR 3.36), and concomitant coronary artery bypass grafting (OR 2.29).


Food for thought, in the light of the recent AATS recommendation, the apparent scattering of surgeries for acute aortic syndrome between 509 surgeons

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