Version 1
: Received: 4 August 2024 / Approved: 5 August 2024 / Online: 5 August 2024 (08:26:17 CEST)
How to cite:
Masraf, H.; Navaratnarajah, M.; Viola, L.; Sef, D.; Malvindi, P. G.; Miskolczi, S.; Velisaaris, T.; Luthra, S. Perioperative and Long Term Outcomes of Acute Stanford Type A Aortic Dissection Repair in Octogenarians. Preprints2024, 2024080258. https://doi.org/10.20944/preprints202408.0258.v1
Masraf, H.; Navaratnarajah, M.; Viola, L.; Sef, D.; Malvindi, P. G.; Miskolczi, S.; Velisaaris, T.; Luthra, S. Perioperative and Long Term Outcomes of Acute Stanford Type A Aortic Dissection Repair in Octogenarians. Preprints 2024, 2024080258. https://doi.org/10.20944/preprints202408.0258.v1
Masraf, H.; Navaratnarajah, M.; Viola, L.; Sef, D.; Malvindi, P. G.; Miskolczi, S.; Velisaaris, T.; Luthra, S. Perioperative and Long Term Outcomes of Acute Stanford Type A Aortic Dissection Repair in Octogenarians. Preprints2024, 2024080258. https://doi.org/10.20944/preprints202408.0258.v1
APA Style
Masraf, H., Navaratnarajah, M., Viola, L., Sef, D., Malvindi, P. G., Miskolczi, S., Velisaaris, T., & Luthra, S. (2024). Perioperative and Long Term Outcomes of Acute Stanford Type A Aortic Dissection Repair in Octogenarians. Preprints. https://doi.org/10.20944/preprints202408.0258.v1
Chicago/Turabian Style
Masraf, H., Theodore Velisaaris and Suvitesh Luthra. 2024 "Perioperative and Long Term Outcomes of Acute Stanford Type A Aortic Dissection Repair in Octogenarians" Preprints. https://doi.org/10.20944/preprints202408.0258.v1
Abstract
Background
The aims of this study were to assess the peri-operative morbidity, mortality and long-term survival of octogenarians undergoing ATAAD repair, and to compare open and closed distal anastomosis techniques.
Methods
This was a single-centre retrospective study (2007-2021). Open versus closed distal anastomosis were compared. Uni and multi-variable logistic regression analyses were performed to identify independent predictors of in-hospital mortality. Kaplan-Meier and Cox proportional hazards methods were used to compare long-term survival.
Results
Fifty octogenarians patients were included (median age - 82 years, closed distal – 22, open distal - 28). Median CPB time was 187 minutes (open distal vs closed distal group; 219 minutes vs 115.5 minutes, p30 days or return to theatre; HR; 4.1, p=0.02) predicted adverse survival. Open distal anastomosis did no impact survival.
Conclusions –
ATAAD repair in selected octogenarians has favourable short and long-term survival. There is no significant difference between open versus closed distal anastomosis strategies.
Keywords
acute aortic dissection; octogenarians; type A aortic dissection; perioperative outcomes
Subject
Medicine and Pharmacology, Cardiac and Cardiovascular Systems
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
