Evidence map›Paper›PMID 41960051›Full record

ArticleJTCVS open2026

Type A acute aortic dissection complicated by preoperative myocardial infarction: Insights from the International Registry of Acute Aortic Dissection.

Shivam Patel, Nimesh D Desai, Derek R Brinster, Qing-Guo Li, Edward P Chen, Ibrahim Sultan, Anthony L Estrera, Marc Schermerhorn, Mark D Peterson, Amit Korach and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Shivam PatelCardiovascular Center, University of Michigan, Ann Arbor, Mich.
Nimesh D DesaiDepartment of Surgery, University of Pennsylvania, Philadelphia, Pa.
Derek R BrinsterDepartment of Cardiovascular and Thoracic Surgery, Northwell Health, New York City, NY.
Qing-Guo LiDepartment of Cardiothoracic Surgery, Nanjing Medical University, Nanjing, China.
Edward P ChenDepartment of Surgery, Duke University, Durham, NC.
Ibrahim SultanDepartment of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.
Anthony L EstreraDepartment of Cardiothoracic and Vascular Surgery, University of Texas, Houston, Tex.
Marc SchermerhornDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, Mass.
Mark D PetersonDepartment of Cardiothoracic Surgery, NYU Langone Medical Center New York City, NY.
Amit KorachDepartment of Thoracic and Cardiac Surgery, Hadassah University Hospital, Jerusalem, Israel.
Davide PaciniCardiac Surgery Department, University of Medicine of Ancona, Ancona, Italy.
Chih-Wen PaiCardiovascular Center, University of Michigan, Ann Arbor, Mich.
Elise WoznickiCardiovascular Center, University of Michigan, Ann Arbor, Mich.
Payam SalehiDepartment of Surgery, Tufts Medical Center, Boston, Mass.
Ourania PreventzaHeart Surgeons of San Antonio, San Antonio, Tex.
Christoph A NienaberCardiology and Aortic Center, The Royal Brompton & Harefield NHS Trust, London, United Kingdom.
Kim A EagleCardiovascular Center, University of Michigan, Ann Arbor, Mich.
George ArnaoutakisDepartment of Cardiovascular and Thoracic Surgery, University of Texas at Austin Dell Medical School, Austin, Tex.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Type A acute aortic dissection can cause preoperative myocardial infarction due to coronary malperfusion or hemodynamic collapse. This study aims to characterize the presentation, management, and outcomes of patients with concomitant dissection and myocardial infarction. Methods: A total of 5762 patients with type A dissection were evaluated from the International Registry of Acute Aortic Dissection from 1996 to 2024. Patients with endovascular management, iatrogenic dissection, or insufficient data were excluded. Patients with preoperative myocardial infarction (n = 662, 10.8%) were compared with those without preoperative myocardial infarction (n = 5140, 89.2%). Results: Age and time to diagnosis and treatment were similar between groups. Patients with preoperative myocardial infarction more frequently presented with chest pain (88.6% vs 82.0%, Conclusions: Patients with type A acute aortic dissection and preoperative myocardial infarction experienced higher complication and in-hospital mortality rates. Earlier recognition and targeted surgical strategies may improve outcomes.

Indexed as

acute aortic dissectionmyocardial infarctiontype A dissection

Identifiers

PMID41960051
PMCPMC13059908

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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.