Berretta Paolo, Patel Himanshu J, Gleason Thomas G, Sundt Thoralf M, Myrmel Truls, Desai Nimesh, Korach Amit, Panza Antonello, Bavaria Joe, Khoynezhad Ali, Woznicki Elise, Montgomery Dan, Isselbacher Eric M, Di Bartolomeo Roberto, Fattori Rossella, Nienaber Christoph A, Eagle Kim A, Trimarchi Santi, Di Eusanio Marco
Division of Cardiac Surgery, G. Mazzini Hospital, Teramo, Italy ;
Cardiac Surgery, University of Michigan Health System, Ann Arbor, USA ;
Ann Cardiothorac Surg. 2016 Jul;5(4):346-51. doi: 10.21037/acs.2016.05.10.
Type A acute aortic dissection (TAAD) is a disease that has a catastrophic impact on a patient's life and emergent surgery represents a key goal of early treatment. Despite continuous improvements in imaging techniques, medical therapy and surgical management, early mortality in patients undergoing TAAD repair still remains high, ranging from 17% to 26%. In this setting, the International Registry of Acute Aortic Dissection (IRAD), the largest worldwide registry for acute aortic dissection, was established to assess clinical characteristics, management and outcomes of TAAD patients. The present review aimed to evaluate and comment on outcomes of TAAD surgery as reported from IRAD series.
A型急性主动脉夹层（TAAD）是一种对患者生命具有灾难性影响的疾病，急诊手术是早期治疗的关键目标。尽管成像技术、药物治疗和手术管理不断改进，但接受TAAD修复的患者早期死亡率仍然很高，在17%至26%之间。在这种情况下，国际急性主动脉夹层注册研究（IRAD），即全球最大的急性主动脉夹层注册研究，得以建立，以评估TAAD患者的临床特征、治疗和预后。本综述旨在评估和评论IRAD系列报道的TAAD手术的预后。
