Department of Cardiothoracic and Vascular Surgery, Huazhong University of Science and Technology, Wuhan, China
Review Article
Impact of Tear Location in Acute Type A Aortic Dissection on Postoperative Neurologic Complications
Author(s): Barnabo Nampoukime Kan-paatib, Monteiro Igwenandji Adeoumi Esperance, Pan You Min and Wang Hai Hao*
Objective: The objective of this retrospective study was to establish a relationship between the locations of the primary entry tear in acute type A aortic dissections and the occurrence of postoperative neurological dysfunction
Methods: From January 2018 to December 2019, a total of 316 patients diagnosed with type A acute aortic dissection underwent conventional surgical repair. The patients were divided into two study groups based on the location of the primary tear in the aorta and the presence of postoperative neurological dysfunction. Propensity score-matching analysis was employed to compare outcomes between the groups and reduce selection bias.
Results: The incidence of neurological dysfunction was 10.75% (34 patients). Hypertension demonstrated a high Odd Ratio (OR) of 76.7 (95% Confidence Interval (CI) 15.. View More»
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