ArticleJournal of the American College of Cardiology2014
Outcomes of acute type a dissection repair before and after implementation of a multidisciplinary thoracic aortic surgery program.
Article in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.
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Who cites it
65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 196 citations in OpenAlex.
- 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.The Journal of thoracic and cardiovascular surgery · 2023Guideline
- 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.Journal of the American College of Cardiology · 2022Guideline
- Guideline
- Unwarranted Variation in the Quality of Care for Patients With Diseases of the Thoracic Aorta.Journal of the American Heart Association · 2017Pooled it
- From routine to rescue: Higher elective aortic surgery volume is associated with improved outcomes after acute type A aortic dissection repair.JTCVS open · 2026Article
- Regional travel distance is not associated with operative mortality in acute type A aortic dissection.JTCVS open · 2026Article
- The Weekend Effect on Outcomes for Type A Aortic Dissection Surgery: A Nationwide Analysis.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- A comprehensive multidisciplinary thoracic aortic program improves patient quality metrics after type A aortic dissection repair.JTCVS open · 2026Article
- Correlation of echocardiographic myocardial deformation variables and vascular Doppler ultrasound variables in the classification of Type-Entry-Malperfusion (TEM) for aortic dissection.Quantitative imaging in medicine and surgery · 2026Article
- Impact of an On-Call Specialist Aortic Rota Implementation in Acute Type a Aortic Dissection on Outcomes and Repair Complexity: A Retrospective Cohort Study.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Hybrid prosthesis in frozen elephant trunk procedures for hereditary thoracic aortic diseases: a 14-year single-aortic center experience.Journal of cardiothoracic surgery · 2025Article
- Influence of Surgical Expertise on Repair of Acute Type a Aortic Dissection in a Standardized Operative Setting.Journal of clinical medicine · 2025Article
- The optimal annual case volume for acute type A aortic dissection surgery in relation to long-term outcomes.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
- Risk factors of prolonged mechanical ventilation after acute type A aortic dissection surgery: a single-center retrospective study.Frontiers in cardiovascular medicine · 2025Article
- Impact of an emergency department bypass referral pathway for surgically managed Type A aortic dissection diagnosed at non-aortic centers.Frontiers in public health · 2025Article
- Advances and Innovation in Acute Type a Aortic Dissection.Journal of clinical medicine · 2024Review
- The Interdisciplinary Aortic Team: Opportunities for Collaboration in Acute Aortic Syndromes.Seminars in interventional radiology · 2024Review
- Outcome analysis of the surgical team in open surgical repair of intact abdominal aortic aneurysm surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Observational
- Limited vs. Extended Resection of Stanford Type A Acute Aortic Dissections.Medicina (Kaunas, Lithuania) · 2024Article
- Delayed surgery for acute type A aortic dissection: a retrospective review of an alternative surgical strategy in the COVID-19 era.Journal of cardiothoracic surgery · 2024Article
5 more citing papers are in PubMed but not listed here.
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThe purpose of this study was to compare the results of acute type A aortic dissection (ATAAD) repair before and after implementation of a multidisciplinary thoracic aortic surgery program (TASP) at our institution, with dedicated high-volume thoracic aortic surgeons, a multidisciplinary approach to thoracic aortic disease management, and a standardized protocol for ATAAD repair.
backgroundOutcomes of ATAAD repair may be improved when operations are performed at specialized high-volume thoracic aortic surgical centers.
methodsBetween 1999 and 2011, 128 patients underwent ATAAD repair at our institution. Records of patients who underwent ATAAD repair 6 years before (n = 56) and 6 years after (n = 72) implementation of the TASP were retrospectively compared. Expected operative mortality rates were calculated using the International Registry of Acute Aortic Dissection pre-operative prediction model.
resultsBaseline risk profiles and expected operative mortality rates were comparable between patients who underwent surgery before and after implementation of the TASP. Operative mortality before TASP implementation was 33.9% and was statistically equivalent to the expected operative mortality rate of 26.0% (observed-to-expected mortality ratio 1.30; p = 0.54). Operative mortality after TASP implementation fell to 2.8% and was statistically improved compared with the expected operative mortality rate of 18.2% (observed-to-expected mortality ratio 0.15; p = 0.005). Differences in survival persisted over long-term follow-up, with 5-year survival rates of 85% observed for TASP patients compared with 55% for pre-TASP patients (p = 0.002).
conclusionsATAAD repair can be performed with results approximating those of elective proximal aortic surgery when operations are performed by a high-volume multidisciplinary thoracic aortic surgery team. Efforts to standardize or centralize care of patients undergoing ATAAD are warranted.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.