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Updated: Aug 5, 2026
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Aortic dissection incidence, management and outcomes: a national population-based study
Erin C Saricilar1, Christian Smedberg2, Rebecka Hultgren3,4
1Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
The British Journal of Surgery
|July 31, 2026
Summary
Aortic dissection (AD) incidence is rising in Sweden, with women experiencing higher rates and poorer outcomes. Targeted interventions are needed to address these sex disparities in AD management and survival.
Area of Science:
- Cardiovascular Medicine
- Epidemiology
- Public Health
Background:
- Aortic dissection (AD) management involves timely medical therapy and surgical intervention for specific cases like type A (TAAD) and complicated type B (TBAD).
- Understanding incidence trends and sex-based differences is crucial for optimizing AD care.
Purpose of the Study:
- To analyze the incidence trends of aortic dissection (AD) in Sweden over 25 years.
- To investigate sex-based differences in AD management and patient outcomes.
Main Methods:
- Utilized Swedish National Patient Register and Cause of Death Register data from 1999-2023.
- Analyzed incidence, management patterns, and survival rates using relative survival analysis compared to the general population.
Main Results:
- AD incidence increased to 9.32/100,000, with a significant annual rise (1.4%).
- Women had lower overall incidence but a faster-rising rate (2.3% annually) compared to men (0.8%).
- Women presented older, received surgery less often, and had worse 10-year relative survival across all treatment groups.
Conclusions:
- Aortic dissection incidence is increasing in Sweden, highlighting persistent sex disparities.
- There is a critical need for targeted strategies to improve AD diagnosis, treatment, and prognosis, particularly for women.
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