ArticleJournal of thoracic disease2024
Gastrointestinal bleeding risk factors in type A aortic dissection post-aortic arch replacement.
Article in Journal of thoracic disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Association between lower-body ischemia duration and postoperative visceral complications in thoracic aortic surgery.General thoracic and cardiovascular surgery · 2026Article
- Clinical and financial outcomes associated with gastrointestinal complications among patients with type B aortic dissection.Surgery open science · 2025Article
- Impact of prolonged cardiopulmonary bypass on gastrointestinal complications in cardiac surgery: a retrospective cohort study.Perioperative medicine (London, England) · 2025Article
- Predicting the risk of postoperative gastrointestinal bleeding in patients with Type A aortic dissection based on an interpretable machine learning model.Frontiers in medicine · 2025Article
- Risk factors of preoperative bowel dysfunction in acute Stanford B aortic dissection.American journal of translational research · 2025Article
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Authors and funding
9 authors.
Funding
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Abstract
Background: Gastrointestinal bleeding (GIB) is a notable complication in patients diagnosed with aortic dissection (AD). We evaluated the outcomes and identified the risk factors associated with GIB in patients with AD. Methods: A retrospective case-control study was conducted on patients diagnosed with type A aortic dissection (TAAD) who underwent total aortic arch replacement (TAAR) at our institution from July 2021 to July 2023. Comprehensive clinical data, laboratory findings, and imaging results were meticulously gathered and analyzed to identify potential risk factors linked to GIB in this patient cohort. Results: Of the 198 AD patients who underwent TAAR, 38 (19.2%) developed postoperative GIB (GIB group), with a median interval of 7 days between surgery and bleeding onset. The GIB group exhibited significantly higher mortality (26.3% Conclusions: GIB subsequent to TAAR in AD patients is linked to adverse prognosis. Factors such as advanced age, extensive intraoperative transfusion, and gastrointestinal (GI) perfusion abnormalities may heighten the risk of GIB in this patient population.
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