Management of Type A Aortic Dissections: A Meta-Analysis of the Literature

Frederik H.W. Jonker; Felix J.V. Schlosser; Jeffrey E. Indes; Bauer E. Sumpio; Donald M. Botta; Frans L. Moll; Bart E. Muhs

doi:10.1016/j.athoracsur.2009.11.020

Management of Type A Aortic Dissections: A Meta-Analysis of the Literature

Frederik H.W. Jonker, Felix J.V. Schlosser, Jeffrey E. Indes, Bauer E. Sumpio, Donald M. Botta, Frans L. Moll, Bart E. Muhs

Research output: Contribution to journal › Review article › peer-review

24 Scopus citations

Abstract

The authors reviewed all published series of type A iatrogenic aortic dissections and performed meta-analyses to investigate the management and outcomes of this complication. The majority of type A iatrogenic aortic dissections occurred during cardiac surgery, but the incidence of iatrogenic aortic dissection was considerably higher during thoracic endovascular aortic repair. Intraoperative diagnosis of iatrogenic aortic dissection was made in 69% of patients, and surgical repair of the dissection was performed in 88%. The overall in-hospital mortality was 38%, and the intraoperative diagnoses (odds ratio 0.35; p = 0.01) and surgical repairs (odds ratio 0.09; p = 0.001) were associated with reduced in-hospital mortality in univariate regression analysis.

Original language	English (US)
Pages (from-to)	2061-2066
Number of pages	6
Journal	Annals of Thoracic Surgery
Volume	89
Issue number	6
DOIs	https://doi.org/10.1016/j.athoracsur.2009.11.020
State	Published - Jun 2010
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2009.11.020

Cite this

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title = "Management of Type A Aortic Dissections: A Meta-Analysis of the Literature",

abstract = "The authors reviewed all published series of type A iatrogenic aortic dissections and performed meta-analyses to investigate the management and outcomes of this complication. The majority of type A iatrogenic aortic dissections occurred during cardiac surgery, but the incidence of iatrogenic aortic dissection was considerably higher during thoracic endovascular aortic repair. Intraoperative diagnosis of iatrogenic aortic dissection was made in 69% of patients, and surgical repair of the dissection was performed in 88%. The overall in-hospital mortality was 38%, and the intraoperative diagnoses (odds ratio 0.35; p = 0.01) and surgical repairs (odds ratio 0.09; p = 0.001) were associated with reduced in-hospital mortality in univariate regression analysis.",

author = "Jonker, {Frederik H.W.} and Schlosser, {Felix J.V.} and Indes, {Jeffrey E.} and Sumpio, {Bauer E.} and Botta, {Donald M.} and Moll, {Frans L.} and Muhs, {Bart E.}",

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AU - Jonker, Frederik H.W.

AU - Schlosser, Felix J.V.

AU - Indes, Jeffrey E.

AU - Sumpio, Bauer E.

AU - Botta, Donald M.

AU - Moll, Frans L.

AU - Muhs, Bart E.

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AB - The authors reviewed all published series of type A iatrogenic aortic dissections and performed meta-analyses to investigate the management and outcomes of this complication. The majority of type A iatrogenic aortic dissections occurred during cardiac surgery, but the incidence of iatrogenic aortic dissection was considerably higher during thoracic endovascular aortic repair. Intraoperative diagnosis of iatrogenic aortic dissection was made in 69% of patients, and surgical repair of the dissection was performed in 88%. The overall in-hospital mortality was 38%, and the intraoperative diagnoses (odds ratio 0.35; p = 0.01) and surgical repairs (odds ratio 0.09; p = 0.001) were associated with reduced in-hospital mortality in univariate regression analysis.

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Management of Type A Aortic Dissections: A Meta-Analysis of the Literature

Abstract

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