Display options
Cite
Conway BD, Stamou SC, Kouchoukos NT, et al. Effects of Gender on Outcomes and Survival Following Repair of Acute Type A Aortic Dissection. Int J Angiol. 2015;24(2):93-8doi: 10.1055/s-0034-1396341.
Conway, B. D., Stamou, S. C., Kouchoukos, N. T., Lobdell, K. W., & Hagberg, R. C. (2015). Effects of Gender on Outcomes and Survival Following Repair of Acute Type A Aortic Dissection. The International journal of angiology : official publication of the International College of Angiology, Inc, 24(2), 93-8. https://doi.org/10.1055/s-0034-1396341
Conway, Brian D, et al. "Effects of Gender on Outcomes and Survival Following Repair of Acute Type A Aortic Dissection." The International journal of angiology : official publication of the International College of Angiology, Inc vol. 24,2 (2015): 93-8. doi: https://doi.org/10.1055/s-0034-1396341
Conway BD, Stamou SC, Kouchoukos NT, Lobdell KW, Hagberg RC. Effects of Gender on Outcomes and Survival Following Repair of Acute Type A Aortic Dissection. Int J Angiol. 2015 Jun;24(2):93-8. doi: 10.1055/s-0034-1396341. PMID: 26060379; PMCID: PMC4452609.
Copy Download .nbib Format: NLM
Share it on

Int J Angiol. 2015 Jun;24(2):93-8. doi: 10.1055/s-0034-1396341.

Effects of Gender on Outcomes and Survival Following Repair of Acute Type A Aortic Dissection.

The International journal of angiology : official publication of the International College of Angiology, Inc

Brian D Conway, Sotiris C Stamou, Nicholas T Kouchoukos, Kevin W Lobdell, Robert C Hagberg

Affiliations

  1. Department of Cardiothoracic Surgery, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
  2. Division of Cardiothoracic Surgery, Missouri Baptist Medical Center, Saint Louis, Missouri.
  3. Department of Thoracic and Cardiovascular Surgery, Sanger Heart and Vascular Institute, Carolinas Medical Center, Charlotte, North Carolina.
  4. Department of Cardiac Surgery, Hartford Hospital, Hartford, Connecticut.

PMID: 26060379 PMCID: PMC4452609 DOI: 10.1055/s-0034-1396341

Abstract

Previous studies have demonstrated gender-related differences in early and late outcomes following type A dissection diagnosis. However, it is widely unknown whether gender affects early clinical outcomes and survival after repair of type A aortic dissection. The goal of this study was to compare the early and late clinical outcomes in women versus men after repair of acute type A aortic dissections. Between January 2000 and October 2010 a total of 251 patients from four academic medical centers underwent repair of acute type A aortic dissection. Of those, 79 were women and 172 were men with median ages of 67 (range, 20-87 years) and 58 years (range, 19-83 years), respectively (p < 0.001). Major morbidity, operative mortality, and 10-year actuarial survival were compared between the groups. Operative mortality was not significantly influenced by gender (19% for women vs. 17% for men, p = 0.695). There were similar rates of hemodynamic instability (12% for women vs. 13% men, p = 0.783) between the two groups. Actuarial 10-year survival rates were 58% for women versus 73% for men (p = 0.284). Gender does not significantly impact early clinical outcomes and actuarial survival following repair of acute type A aortic dissection.

Keywords: aortic dissection; cardiac surgery; dissection; repair

References

  1. Ann Thorac Surg. 2002 Nov;74(5):S1848-52; discussion S1857-63 - PubMed
  2. Am J Med Genet A. 2013 Apr;161A(4):779-86 - PubMed
  3. Ann Thorac Surg. 2013 Jan;95(1):41-5 - PubMed
  4. Chest. 2000 May;117(5):1271-8 - PubMed
  5. Ann Surg. 2001 Sep;234(3):336-42; discussion 342-3 - PubMed
  6. N Engl J Med. 2006 Jun 8;354(23):2473-83 - PubMed
  7. Med Clin North Am. 2005 May;89(3):457-73 - PubMed
  8. JAMA. 2000 Feb 16;283(7):897-903 - PubMed
  9. Cardiovasc Surg. 1998 Feb;6(1):76-80 - PubMed
  10. Circulation. 1995 Sep 15;92(6):1465-72 - PubMed
  11. Interact Cardiovasc Thorac Surg. 2010 Apr;10(4):539-44 - PubMed
  12. Int J Angiol. 2008 Fall;17(3):155-61 - PubMed
  13. Circulation. 2004 Jun 22;109(24):3014-21 - PubMed
  14. Medicine (Baltimore). 1958 Sep;37(3):217-79 - PubMed
  15. N Engl J Med. 1997 Jun 26;336(26):1876-88 - PubMed
  16. Curr Probl Cardiol. 1989 May;14(5):225-78 - PubMed
  17. Circulation. 1993 May;87(5):1765-8 - PubMed
  18. Mayo Clin Proc. 2009 May;84(5):465-81 - PubMed
  19. Mayo Clin Proc. 2004 Feb;79(2):176-80 - PubMed
  20. Ann Thorac Surg. 1992 May;53(5):886-8 - PubMed

Publication Types