Related Experiment Video

Updated: Jun 11, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.0K

Long-Term Results and Quality of Life after Surgery for Acute Aortic Dissection Type A: Contemporary Single-Centre

Nora Goebel1, Simone A Holder1, Franziska Huether1

  • 1Department of Cardiovascular Surgery, Robert Bosch Hospital, 70376 Stuttgart, Germany.

Journal of Clinical Medicine
|September 28, 2024
PubMed

Insights

Emergency surgery for acute aortic dissection type A shows improved 30-day and 10-year survival rates over time, despite increased patient complexity. Quality of life remains significantly impaired post-surgery.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Disease Management

Background:

  • Acute aortic dissection type A carries high morbidity and mortality.
  • Emergency surgical intervention is critical for survival.
  • Long-term outcomes and quality of life post-surgery require ongoing evaluation.

Purpose of the Study:

  • To assess long-term outcomes and quality of life after emergency surgery for acute aortic dissection type A.
  • To compare early versus late surgical periods regarding mortality and reoperation rates.
  • To analyze risk factors influencing outcomes in aortic dissection surgery.

Main Methods:

  • Retrospective analysis of 413 patients undergoing surgery for acute aortic dissection type A between 2000 and 2016.
  • Comparison of outcomes between two periods: 2000-2007 (early) and 2008-2016 (late).
  • Assessment of 30-day mortality, follow-up mortality, reoperation rates, and quality of life using the SF-36 survey.

Main Results:

  • Perioperative risk (Euroscore) significantly increased from 24.9% to 38.0% (p < 0.001).
  • Thirty-day mortality significantly decreased from 26.7% to 17.4% (p = 0.03).
  • Ten-year survival improved from 53.4% to 69.7% (p = 0.04), with comparable reoperation rates (74.0% vs. 85.7%, p = 0.28).

Conclusions:

  • Surgical outcomes for type A aortic dissection have significantly improved over time, evidenced by reduced 30-day and enhanced 10-year survival.
  • Despite improvements, quality of life remains significantly impaired compared to the general population.
  • Increased surgical complexity and patient risk are associated with improved, rather than worsened, outcomes in recent years.

Keywords:
aortic surgerylong-term resultsoutcomesquality of lifereinterventiontype A aortic dissection

More Related Videos

Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

207
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.3K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
3
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
3
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
3
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
3
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4