Deturk, Stephen, BA

Mehta, Sanjay M, MD

Misselbeck, Tim S, MD

Phillips, Theodore G, MD

Singer, Raymond L, MD

Szwerc, Michael F, MD

Szydlowski, Gary W, MD

Wu, James K, MD

English

Misselbeck, Timothy S

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of SurgeryCritical Assessment of Outcomes in Acute AorticDissection (Type A) at a Community Hospital: A10 year reviewTim S. Misselbeck MDLehigh Valley Health Network, Timothy_S.Misselbeck@lvhn.orgJames K. Wu MDLehigh Valley Health Network, james.wu@lvhn.orgStephen Deturk BALehigh Valley Health NetworkMichael F. Szwerc MDLehigh Valley Health Network, Michael_F.Szwerc@lvhn.orgSanjay M. Mehta MDLehigh Valley Health Network, Sanjay_M.Mehta@lvhn.orgSee next page for additional authorsFollow 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 AtMisselbeck, T., Wu, J., Deturk, S., Szwerc, M., Mehta, S., Phillips, T., Szydlowski,G., & Singer, R. (2012). Critical assessment of outcomesin acute aortic dissection (type a) at a community hospital: a 10 years review. Poster presentation.AuthorsTim S. Misselbeck MD, James K. Wu MD, Stephen Deturk BA, Michael F. Szwerc MD, Sanjay M. Mehta MD,Theodore G. Phillips MD, Gary W. Szydlowski MD, and Raymond L. Singer MDThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/surgery/60Lehigh Valley Health Network, Allentown, PennsylvaniaCritical Assessment of Outcomes in Acute Aortic Dissection (Type A) at a Community Hospital: A 10 year reviewTimothy Misselbeck, MD, James Wu, MD, Stephen Deturk, BA, Michael Szwerc, MD, Sanjay Mehta, MD, Theodore Phillips, MD, Gary Szydlowski, MD, Raymond Singer, MD, FACSIntroduction: Type A aortic dissection is a potentially life threatening condition. Patients who present with acute aortic dissections represent a great challenge to the clinical teams caring for them. Successful outcomes depend heavily on the correct diagnosis and complex decision making. There is perception that some community hospitals may not have the surgical expertise or the appropriate resources to perform complex aortic surgery.Methods: Patients were identified through an IRB approved retrospective database review of our electronic hospital record. Information was collected from patients who presented from January 2000 to March 2010 with acute Type A aortic dissection. Data included the initial treatment approach, 30 day survival and major postoperative morbidity.Results: 87 patients identified with acute Type A dissection. Of these, 66 were treated with surgery and 19 were treated non-operatively. Of the non-operative group, 1 patient died prior to the surgery starting, 12 were judged to be at a prohibitive risk and were treated medically, 4 patients elected for palliative care and 3 were transferred to other institutions. 1 patient with left the hospital against medical advice. The rate of acute renal failure was 26%. The overall stroke rate was 18.8%. 30 day survival was 71% overall. Conclusion(s): After reviewing our results and comparing them to the International Registry of Acute Aortic Dissections (IRAD), it is clear that the treatment of patients at this community hospital is of high quality and on par with other major institutions.ResultsExamples of Aortic Dissections Type A in arch Type A dissectionType A dissection 2In-hospital Complications in Patients with Type A Dissection            Complications No Incidence Overall (%)Acute Renal Failure 23 26.43Stroke 16 18.39

Critical Assessment of Outcomes in Acute Aortic Dissection (Type A) at a Community Hospital: A 10 year review

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1059&context=surgery

Critical Assessment of Outcomes in Acute Aortic Dissection (Type A) at a Community Hospital: A 10 year review

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