Successful Acute Type A Aortic Dissection Repair in a Nonagenarian

Authors

  • Edward Ansari
  • Alexander Blehm
  • Udo Boeken
  • Arthur Lichtenberg

DOI:

https://doi.org/10.1532/HSF98.2014329

Abstract

Surgical repair in older patients with acute type A aortic dissection (ATAAD) evokes a higher peri- and postoperative mortality, it therefore remains controversial in nonagenarians. The authors present a case of a surgically managed ATAAD in a nonagenerian, a 94-year-old man presented with an uncomplicated ATAAD, necessitating emergency surgical repair. The subsequent postoperative course was uneventful, and the patient was discharged after uncomplicated recovery. Aggressive surgical approach should be feasable in select nonagenarian patients with ATAAD, depending on the clinical presention and prior patient history.

References

Kazui T, Washiyama N, Bashar AH et al. 2002. Surgical outcome of acute type A aortic dissection: analysis of risk factors. Ann Thorac Surg 74:75-81.nMehta RH, Suzuki T, Hagan PG et al. 2002. International Registry of Acute Aortic Dissection (IRAD) Investigators. Predicting death in patients with acute type A aortic dissection. Circulation 105(2):200-6.nNeri E, Toscano T, Massetti M et al. 2001. Operation for acute type A aortic dissection in octogenarians: is it justified? J Thorac Cardiovasc Surg 121:259-267.nPiccardo A, Le Guyader A, Regesta T et al. 2013. Octogenarians with uncomplicated acute type A aortic dissection benefit from emergency operation. Ann Thorac Surg 96(3):851-6.nSantini F, Montalbano G, Casali G et al. 2007. Clinical presentation is the main predictor of in-hospital death for patients with acute type A aortic dissection admitted for surgical treatment: a 25 years experience. Int J Cardiol 115(3):305-11.nSiegal EM. 2006. Acute aortic dissection. J Hosp Med 1:94-105.nTsai TT, Evangelista A, Nienaber CA et al. 2006. Long-term survival in patients presenting with acute type A aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation 114(1 Suppl):350-356.n

Published

2014-07-03

How to Cite

Ansari, E., Blehm, A., Boeken, U., & Lichtenberg, A. (2014). Successful Acute Type A Aortic Dissection Repair in a Nonagenarian. The Heart Surgery Forum, 17(3), E178-E179. https://doi.org/10.1532/HSF98.2014329

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