Truls Myrmel

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. We 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. We 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). Methods: We evaluated 2037 AAD patients

UNCONTROLLED HYPERTENSION IN ACUTE AORTIC DISSECTION FOLLOW-UP

Background: Hypertension (HTN) is one of the most common comorbidities associated with acute aortic dissection (AAD), and strict blood pressure control is a cornerstone of post-AAD therapy. This study seeks to identify factors associated with uncontrolled HTN in AAD follow-up and investigates

DEMOGRAPHIC DIFFERENCES IN THE INTERVENTIONAL THERAPY OF ACUTE AORTIC DISSECTION

Few studies have investigated racial disparities in acute aortic dissection (AAD). One pioneering study about this topic showed that blacks and whites exhibit key differences in the etiology and clinical presentation of the disease. This project sought to determine if these disparities led to

DIAGNOSTIC DELAYS IN TYPE B AORTIC DISSECTIONS

Acute aortic conditions, including aortic dissection and intramural hematoma, are very serious illnesses that require prompt and appropriate medical attention, with misdiagnosis being potentially fatal. It is well understood that fast diagnosis and treatment is crucial to obtain optimal outcomes for

PRESENTING CHARACTERISTICS AND OUTCOMES OF PAINLESS TYPE A AORTIC DISSECTION

Approximately 6% of all Type A dissection patients have no pain symptoms, making rapid diagnosis difficult. A better understanding of how painless patients present to the emergency room will help improve recognition of dissection in this subset of patients. Type A patients enrolled in the

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%. This 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.