Does the Timing of Acute Type A Aortic Dissection Surgery Impact on Immediate and Long Term Patient Outcomes? A Retrospective Single Centre Study

Emmanuel Isaac, Ahmed Habib, Azar Hussain, Vassili Crispi, Mubarak Chaudhry and Mahmoud Loubani

Department of Cardiothoracic Surgery, Castle Hill Hospital, UK

^*Correspondance to: Mahmoud Loubani 

 PDF  Full Text DOI: 10.25107/2474-1647.2504

Abstract

Introduction: Type A aortic dissection is a surgical emergency which traditionally has been treated with surgery as soon as possible. There have been recent reports suggesting that outcomes of surgery might be worse if carried out during the night. Methods: All patients operated on over a ten year period for Type A aortic dissection in our department were included in the study and followed up to date. Results: 96 operations were performed for type A aortic dissection at Castle Hill Hospital between 2008 to 2018 with 56 performed during the day and 40 at night time. There was most a difference in long term mortality between 4 to 7 years after surgery in favor of day time cases which equalized beyond 7 years. Conclusion: Consideration should be given to delay of surgery for Type A aortic dissection to day time rather than operating as an emergency during the night.

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Cite the article

Isaac E, Habib A, Hussain A, Crispi V, Chaudhry M, Loubani M. Does the Timing of Acute Type a Aortic Dissection Surgery Impact on Immediate and Long Term Patient Outcomes? A Retrospective Single Centre Study. Clin Surg. 2019; 4: 2504.