Santi Trimarchi

AORTIC DISSECTION IN THE ELDERLY: COMPARING SEPTUAGENARIANS AND OCTOGENARIANS

Studies have shown acute aortic dissection (AAD) pts ≥70 years of age have higher in-hospital mortality and less Type A (TA) surgical management (mgmt). These differences may also hold true within the elderly cohort.nnWe studied 1139 elderly pts from the International Registry of Acute Aortic

“TIME IS LIFE”: EARLY MORTALITY IN TYPE A ACUTE AORTIC DISSECTION: INSIGHTS FROM THE IRAD REGISTRY

Based on 1950s data, the mortality rate for type A acute aortic dissection (AD) during the initial 24-hours was reported to be 1-2% per hour. In the contemporary era, limited data exist regarding initial 24-hour mortality and the impact of early surgical intervention.nnWe reviewed duration of

PREDICTIVE FACTORS FOR RAPID AORTIC GROWTH FOLLOWING ACUTE TYPE A AORTIC DISSECTION PATIENTS: A STUDY FROM THE INTERNATIONAL REGISTRY OF ACUTE AORTIC DISSECTION

Background: Residual dissection after acute Type A aortic dissection (TAAAD) repair has an associated but not well defined risk for aneurysmal degeneration. The purpose of this study was to investigate potential risk factors and outcomes associated with rapid aortic growth in the residually

BODY MASS INDEX AND ACUTE AORTIC DISSECTION

Background: Obesity has been linked to many cardiovascular diseases, yet little is known about its impact on acute aortic dissection (AAD). We sought to assess the clinical manifestations, management and outcomes of AAD in relation to body mass index (BMI).nnMethods: We evaluated 2037 AAD patients

ONSET OF IN-HOSPITAL COMPLICATIONS IN ACUTE TYPE B AORTIC DISSECTIONS INITIALLY UNCOMPLICATED

It is unknown what the incidence is of in-hospital complications in patients presenting with initially uncomplicated acute type B aortic dissection (ABAD) and what predicts such clinical evolution. Our aim was to identify the incidence and predictors of development of in-hospital complications in

STUDY OF ACUTE TYPE A AORTIC DISSECTION PATIENTS WITH UNDILATED AORTAS

Methods: The average diameter of the healthy ascending thoracic aorta is 3.41 cm and 3.19 cm for men and women, respectively. This study investigated TAAAD patients enrolled in the International Registry of Acute Aortic Dissection with undilated aortas (diameter <4.0 cm) compared to those with dilated aortas (4.0 cm or larger). Patients with a prior history of aneurysm and/or dissection surgery were excluded.

PREDICTORS OF SUBSEQUENT INTERVENTION AFTER INITIAL TREATMENT FOR ACUTE AORTIC DISSECTION

Follow-up interventions are a common complication of acute aortic dissection (AAD), with published rates of additional procedures between 7.8%-23.2%.nnThis study analyzed 931 patients enrolled in the International Registry of Acute Aortic Dissection with available follow-up data (median 1.0 years (1

MORTALITY AND OUTCOMES OF PATIENTS PRESENTING WITH AND WITHOUT IATROGENIC AORTIC DISSECTIONS

Results: There were significant differences in history and presentation between iAD and sAD pts when stratified by dissection type (see table). Complication rates for TA iAD pts were higher than for sAD pts pre-operatively for myocardial ischemia (27.9% v. 8.8%, p<0.001) and myocardial infarction (16.7% v. 4.3%, p<0.001). sAD patietns were managed similarly to iAD with respect to medical, surgical or endovascular therapy, with similar mortality between treatment groups. In contrast, postoperative rates of stroke (17.2% v. 9.5%, p=0.053) or limb ischemia (9.5% v. 3.5%, p=0.013) were significantly higher after iAD than sAD.