Original articleCardiovascularOutcomes and Survival in Surgical Treatment of Descending Thoracic Aorta With Acute Dissection
Section snippets
Patients and Methods
Institutional Review Board protocol H-18095 for the collection of data for this study was approved and in place at the time of this study.
Results
One patient (1.3%) died intraoperatively, 11 patients (14.5%) died within 30 days, and another 6 died in-hospital beyond 30 days, resulting in an operative mortality of 17 patients (22.4%; Table 2). Two of these deaths occurred at an outside hospital after patients were transferred and the cause of death is unknown. Eight of these deaths were secondary to cardiac arrest, 6 were a result of multiple system organ failure, and 1 patient died intraoperatively during a second operation within the
Comment
This study is a descriptive measure of our experience with the surgical treatment of acute type III aortic dissection. As no comparison was made to a cohort of patients managed nonsurgically, a statement regarding the better approach to treatment would not be supported in either direction by the present study. The decision to operate on these patients is based on mortality rates for operative and nonoperative treatment described in the literature, taking into account risk stratification based
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