P113. Early and Late Outcomes of Surgical Treatment for Type A Acute Aortic Dissection in Octogenarians
Presented During: POD Abstracts (Available for viewing in the exhibit hall for the duration of the meeting)
Kishiwada Tokusyukai hospital
Osaka
Japan - Contact Me
Dr. Masaaki Kobayashi, M.D.
Board-Certified in Cardiovascular Surgery
About Me:
I am currently working in the Cardiovascular Surgery Department at Kishiwada Tokushukai Hospital. I graduated from Sapporo Medical University in 2018 and underwent surgical training at Kishiwada Tokushukai Hospital, specializing in cardiovascular surgery. I am currently undergoing training in cardiovascular surgery and aspiring to pursue a fellowship in the United States to further enhance my skills and knowledge in the field.
Contact Information:
E-mail: [email protected]
Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square
Room: Central Park
Description
Objective: This study aimed to evaluate the results of emergency operations for acute type A aortic dissection, especially in octogenarians. Our surgical approach for octogenarians aims to conclude with the least invasive procedure possible, with Hemiarch replacement being the primary choice whenever feasible.
Methods: From March 2012 to November 2023, 449 consecutive patients underwent surgical repair for acute type A aortic dissection at our institution. 113 patients aged 80 years or older were included in this retrospective study. The primary endpoint was early mortality, and the secondary endpoint was long-term mortality. The mean age of the cohort was 84.8 years.
Results: Of the 113 octogenarians with AAD (A), isolated Hemiarch replacement was performed in 105 (93%), total arch replacement in 5 (4.4%), and Bentall procedure in 3 (2.7%). Five patients (4.4%) died within 30 days, and 12 (10.6) died in the hospital more than 30 days after surgery. Ten (8.8%) had a new stroke and 7 (6.2%) had mediastinitis. The overall postoperative survival was 76%, 74%, and 50% at 1, 3, and 5 years, respectively.
Conclusions: The results of emergency surgery for octogenarians were acceptable. Octogenarians should not be refused this life-saving emergency operation.
Authors
Masaaki Kobayashi (1), Satoshi Kuroyanagi (1), Onichi Furuya (1)
Institutions
(1) Kishiwada Tokushukai hospital, Kishiwada, NA
Methods: From March 2012 to November 2023, 449 consecutive patients underwent surgical repair for acute type A aortic dissection at our institution. 113 patients aged 80 years or older were included in this retrospective study. The primary endpoint was early mortality, and the secondary endpoint was long-term mortality. The mean age of the cohort was 84.8 years.
Results: Of the 113 octogenarians with AAD (A), isolated Hemiarch replacement was performed in 105 (93%), total arch replacement in 5 (4.4%), and Bentall procedure in 3 (2.7%). Five patients (4.4%) died within 30 days, and 12 (10.6) died in the hospital more than 30 days after surgery. Ten (8.8%) had a new stroke and 7 (6.2%) had mediastinitis. The overall postoperative survival was 76%, 74%, and 50% at 1, 3, and 5 years, respectively.
Conclusions: The results of emergency surgery for octogenarians were acceptable. Octogenarians should not be refused this life-saving emergency operation.
Authors
Masaaki Kobayashi (1), Satoshi Kuroyanagi (1), Onichi Furuya (1)
Institutions
(1) Kishiwada Tokushukai hospital, Kishiwada, NA
Presentation Duration
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