DePaolo, Eilizabeth, BS

Misselbeck, Tim S, MD

Phillips, Theodore G, MD

Wu, James K, MD

English

Misselbeck, Timothy S

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of SurgeryCauses of Death in Surgically Treated Patients withType A Aortic Dissection - A Ten Year ReviewJames K. Wu MDLehigh Valley Health Network, james.wu@lvhn.orgEilizabeth DePaolo BSLehigh Valley Health NetworkTheodore G. Phillips MDLehigh Valley Health Network, Theodore.Phillips@lvhn.orgTim S. Misselbeck MDLehigh Valley Health Network, Timothy_S.Misselbeck@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/surgeryPart of the Cardiology Commons, Other Medical Specialties Commons, Statistics andProbability Commons, and the Surgery CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtWu, J., DePaolo, E., Phillips, T., & Misselbeck, T. (2013, March 21-23). Causes of death in surgically treated patients with type a aorticdissection - a ten year review. Presented at: The 6th Annual Houston Aortic Symposium, Houston, Tx.Lehigh Valley Health Network, Allentown, PennsylvaniaCauses of Death in Surgically Treated Patients with Type A Aortic Dissection - A Ten Year ReviewJames Wu, MD; Elizabeth DePaolo, BS; Theodore Phillips, MD; Timothy Misselbeck, MD; Division of Cardiothoracic Surgery, Department of SurgeryObjectiveMethodsAll data was obtained via retrospective analysis for the 211 patients who were admitted with the diagnosis of an aortic dissection to a large community hospital over a ten year period.  This cohort of patients was then broken down to type A and type B dissection.  Patients with a diagnosis of type A dissection were further analyzed.   This data was obtained by reviewing all postoperative information from the hospital admission until the time of death.The objective of this study was to review the manner of death in surgically treated patients with type A aortic dissection in a tertiary community hospital. ResultsOut of the 211 patients, 92 (43.6%) had type A dissections.  68 patients (73.9%) went on to have surgery to repair the type A dissection. 35 patients (51.5%) have expired since the date of surgery.  Average patient age was 63.07 years, and 17 patients (48.6%) expired during the same hospital stay (compared to 51.4% discharged patients).  The top three causes of death for in hospital patients were malperfusion (13 patients), heart failure (2 patients), and aortic rupture (2 patients). For discharged patients the top three causes were other or unknown causes (12 patients), malperfusion (3 patients), and heart failure (3 patients). 50 patients were men and 18 were women.© 2013 Lehigh Valley Health NetworkFigures 1: Demographics for patients with Type A Dissection.ConclusionAortic Dissection is a life-threatening condition with a high surgical mortality rate. We found that the leading cause of death in surgically treated patients is malperfusion and the majority of patients died within the first week.  5018MenWomenTable 1. Causes of Death in Type A Dissection Patients Treated SurgicallyCauses of Death Inpatient OutpatientMalperfusion 13 (76.5%) 12 (16.7%)Heart Failure 2 (11.8%) 3 (16.7%)Aortic Rupture 2 (11.8%) 0Unknown 0 3 (66.7%)Table 2. Comorbid Conditions in SurgicallyTreated Patients with Type A DissectionCondition Male FemaleHypertension 94% 88.9%Diabetes 20% 22.2%Marfan Syndrome 20% 22.2%Table 3. Demographics of Type A DissectionTotal Average Age LivingAverage AgeExpiredAverage Age62.2 58.5 65.7

Causes of Death in Surgically Treated Patients with Type A Aortic Dissection - A Ten Year Review

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1060&context=surgery

Causes of Death in Surgically Treated Patients with Type A Aortic Dissection - A Ten Year Review

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