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Updated: Aug 7, 2026
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Emergency Surgical Repair for Acute Type A Aortic Dissection in Octogenarians: A Single-Centre Experience
Yuh Ing Lok1, Bao Nguyen1, James Kuo1
1Cardiothoracic Surgery, Derriford Hospital, Plymouth, GBR.
Cureus
|August 6, 2026
Summary
Emergency aortic dissection repair in octogenarians shows a 21.7% in-hospital mortality. Mid-term survival is achievable, suggesting age alone shouldn't prevent surgical intervention for acute type A aortic dissection.
Area of Science:
- Cardiovascular Surgery
- Geriatric Medicine
- Thoracic Aortic Disease
Background:
- Emergency surgical repair for acute type A aortic dissection (ATAAD) in octogenarians is controversial due to high perceived operative risks.
- Limited data exists on outcomes for this specific high-risk demographic.
Purpose of the Study:
- To evaluate in-hospital mortality, postoperative morbidity, and mid-term survival after emergency surgical repair of ATAAD in octogenarians.
- To compare outcomes with existing registries.
Main Methods:
- Retrospective cohort study.
- Analysis of 23 consecutive octogenarians undergoing emergency ATAAD repair between 2014 and 2024.
- Assessment of in-hospital mortality, postoperative stroke, need for renal replacement therapy, and mid-term survival.
Main Results:
- In-hospital mortality was 21.7% (5/23 patients).
- Postoperative stroke occurred in 26.1% (6/23) and temporary renal replacement therapy was needed in 26.1% (6/23).
- Estimated five-year survival was 43%, with a median survival of 3.88 years, comparable to the IRAD registry.
Conclusions:
- Emergency surgical repair for ATAAD in octogenarians can achieve acceptable survival outcomes.
- Advanced age should not be an absolute contraindication; individualized treatment decisions are crucial.
- Outcomes are comparable to broader patient populations in registries like IRAD.
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