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Root Replacement Surgery Versus More Conservative Management During Type A Acute Aortic Dissection Repair

Wednesday, December 3, 2014

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975(14)01430-1/abstract

Author(s)

Marco Di Eusanio, Santi Trimarchi, Mark D. Peterson, Truls Myrmel, G. Chad Hughes, Amit Korach, Thoralf M. Sundt, Roberto Di Bartolomeo, Kevin Greason, Ali Khoynezhad, Jehangir J. Appoo, Gianluca Folesani, Carlo De Vincentiis, Daniel G. Montgomery, Eric M. Isselbacher, Kim A. Eagle, Christoph A. Nienaber, Himanshu J. Patel

This study used data from the International Registry of Acute Aortic Dissection to explore the rates and outcomes of root replacement vs more conservative management in patients with acute type A dissections. Root replacement patients were younger, had greater root diameter, were more often affected by Marfans, had a higher incidence of AI, and were more often affected by shock/hypotension/tamponade. Root replacement had no detrimental affect on hospital mortality or 3-year survival.