ArticleAnnals of thoracic surgery short reports2025
Outcome of Transfer Time Difference From Diagnosis to Operation Room in Acute Type A Aortic Dissection Complicated by Malperfusion.
Article in Annals of thoracic surgery short reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
Background: There are few reports of time effect for postoperative outcomes in patients with acute type A aortic dissection (ATAAD) complicated by malperfusion syndrome (MPS), especially transfer time difference from diagnosis to operation room (OR). To elucidate whether time between diagnosis and OR might be a significant factor, this study evaluated surgical outcomes of ATAAD complicated by MPS. Methods: Between October 2013 and June 2024, 159 patients with ATAAD underwent emergent aortic repair; 54.7% (87/159) presented with MPS, 45.3% (72/159) without MPS. Of 87 patients with MPS, 69.0% (60/87) were transferred to the OR within 150 minutes from initial diagnosis (immediate repair), whereas 31.0% (27/87) were transferred to the OR after 150 minutes (late repair). Results: In the MPS group, there was a significant difference in 30-day mortality rate between immediate and late repair, 20.0% (12/60) vs 48.1% (13/27; Conclusions: Immediate transfer from diagnosis to OR significantly improved long-term outcome in patients with ATAAD complicated by MPS. Older age and preoperative cardiac tamponade worsened long-term mortality in this cohort.
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