Table 3.
Thoracic aortic aneurysm (total; 22,540)
(1) Dissection (total; 10,855)
| Stanford type | Acute | Chronic | Concomitant operation | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | B | A | B | ||||||||||||||||||||
| Replaced site | Cases | 30-Day mortality | Hospital mortality | Cases | 30-Day mortality | Hospital mortality | Cases | 30-Day mortality | Hospital mortality | Cases | 30-Day mortality | Hospital mortality | AVP | AVR | MVP | MVR | CABG | Others | |||||
| Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | Hospital | After discharge | ||||||||||||||||
| Ascending Ao | 2071 | 146 (7.0) | 1 (0.05) | 189 (9.1) | 1 | 0 | 0 | 0 | 187 | 6 (3.2) | 0 | 8 (4.3) | 1 | 0 | 0 | 0 | 61 | 137 | 22 | 8 | 110 | 32 | |
| Aortic Root | 191 | 35 (18.3) | 0 | 36 (18.8) | 0 | 0 | 0 | 0 | 80 | 4 (5.0) | 0 | 5 (6.3) | 3 | 0 | 0 | 0 | 32 | 194 | 6 | 2 | 65 | 7 | |
| Arch | 1954 | 135 (6.9) | 1 (0.05) | 174 (8.9) | 31 | 0 | 0 | 0 | 355 | 9 (2.5) | 0 | 13 (3.7) | 172 | 5 (2.9) | 0 | 6 (3.5) | 54 | 113 | 10 | 5 | 118 | 25 | |
| Aortic root + asc. Ao. + Arch | 167 | 23 (13.8) | 0 | 26 (15.6) | 0 | 0 | 0 | 0 | 47 | 1 (2.1) | 0 | 3 (6.4) | 6 | 0 | 0 | 0 | 23 | 143 | 2 | 0 | 35 | 2 | |
| Descending Ao | 35 | 4 (11.4) | 0 | 4 (11.4) | 28 | 2 (7.1) | 0 | 2 (7.1) | 56 | 1 (1.8) | 0 | 1 (1.8) | 220 | 9 (4.1) | 0 | 10 (4.5) | 2 | 4 | 0 | 0 | 4 | 0 | |
| Thoracoabdominal | 1 | 1 (100.0) | 0 | 1 (100.0) | 11 | 1 (9.1) | 0 | 1 (9.1) | 46 | 5 (10.9) | 0 | 5 (10.9) | 182 | 11 (6.0) | 1 (0.5) | 13 (7.1) | 0 | 0 | 0 | 0 | 1 | 0 | |
| Simple TEVAR | 101 | 9 (8.9) | 0 | 11 (10.9) | 442 | 30 (6.8) | 0 | 34 (7.7) | 264 | 2 (0.8) | 0 | 3 (1.1) | 1171 | 7 (0.6) | 0 | 8 (0.7) | 1 | 2 | 0 | 0 | 2 | 2 | |
| Open SG with BR | 1213 | 101 (8.3) | 2 (0.16) | 133 (11.0) | 62 | 3 (4.8) | 0 | 3 (4.8) | 207 | 8 (3.9) | 0 | 11 (5.3) | 237 | 4 (1.7) | 0 | 7 (3.0) | 61 | 115 | 10 | 2 | 104 | 16 | |
| Open SG without BR | 435 | 32 (7.4) | 0 | 45 (10.3) | 28 | 2 (7.1) | 0 | 3 (10.7) | 52 | 2 (3.8) | 0 | 4 (7.7) | 82 | 3 (3.7) | 0 | 3 (3.7) | 20 | 45 | 1 | 0 | 30 | 2 | |
| Arch TEVAR with BR | 14 | 1 (7.1) | 0 | 1 (7.1) | 123 | 6 (4.9) | 0 | 10 (8.1) | 73 | 2 (2.7) | 0 | 2 (2.7) | 364 | 7 (1.9) | 0 | 8 (2.2) | 1 | 0 | 0 | 0 | 0 | 0 | |
| Thoracoabdominal TEVAR with BR | 0 | 0 | 0 | 0 | 11 | 0 | 0 | 0 | 6 | 0 | 0 | 1 (16.7) | 33 | 2 (6.1) | 0 | 4 (12.1) | 0 | 0 | 0 | 0 | 0 | 0 | |
| Other | 18 | 6 (33.3) | 0 | 6 (33.3) | 13 | 3 (23.1) | 0 | 3 (23.1) | 10 | 0 | 0 | 0 | 51 | 2 (3.9) | 0 | 2 (3.9) | 0 | 2 | 0 | 0 | 1 | 1 | |
| Total | 6200 | 353 (5.7) | 4 (0.06) | 626 (10.1) | 750 | 47 (6.3) | 0 | 56 (7.5) | 1383 | 40 | (2.9) | 0 | 56 (4.0) | 2522 | 50 (2.0) | 1 (0.0) | 61 (2.4) | 255 | 755 | 51 | 17 | 470 | 87 |
| (), % mortality | |||||||||||||||||||||||
| Ao aorta, AVP aortic valve repair, AVR aortic valve replacement, MVP mitral valve repair, MVR mitral valve replacement, CABG coronary artery bypass grafting, TEVAR thoracic endovascular aortic (aneurysm) repair | |||||||||||||||||||||||
| Acute, within 2 weeks from the onset | |||||||||||||||||||||||
| (2) Non-dissection (total; 11,685) | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Replaced site | Unruptured | Ruptured | Concomitant operation | |||||||||||
| Cases | 30-Day mortality | Hospital mortality | Cases | 30-Day mortality | Hospital mortality | AVP | AVR | MVP | MVR | CABG | Others | |||
| Hospital | After discharge | Hospital | After discharge | |||||||||||
| Ascending Ao | 1423 | 33 (2.3) | 0 | 51 (3.6) | 56 | 7 (12.5) | 0 | 11 (19.6) | 43 | 1055 | 65 | 68 | 181 | 115 |
| Aortic Root | 1056 | 22 (2.1) | 0 | 35 (3.3) | 59 | 10 (16.9) | 0 | 11 (18.6) | 243 | 783 | 73 | 27 | 144 | 77 |
| Arch | 2035 | 38 (1.9) | 0 | 67 (3.3) | 113 | 10 (8.8) | 0 | 14 (12.4) | 33 | 569 | 37 | 23 | 304 | 76 |
| Aortic root + asc. Ao. + Arch | 306 | 10 (3.3) | 0 | 14 (4.6) | 10 | 0 | 0 | 2 (20.0) | 53 | 225 | 12 | 0 | 39 | 10 |
| Descending Ao | 305 | 5 (1.6) | 2 (0.66) | 14 (4.6) | 32 | 5 (15.6) | 0 | 5 (15.6) | 1 | 8 | 0 | 0 | 16 | 3 |
| Thoracoabdominal | 377 | 14 (3.7) | 0 | 27 (7.2) | 45 | 5 (11.1) | 0 | 8 (17.8) | 0 | 0 | 0 | 0 | 0 | 0 |
| Simple TEVAR | 2457 | 32 (1.3) | 5 (0.20) | 55 (2.2) | 373 | 56 (15.0) | 1 (0.27) | 74 (19.8) | 0 | 2 | 0 | 0 | 1 | 5 |
| Open SG with BR | 1115 | 40 (3.6) | 0 | 68 (6.1) | 66 | 7 (10.6) | 0 | 13 (19.7) | 7 | 121 | 13 | 2 | 166 | 12 |
| Open SG without BR | 398 | 8 (2.0) | 0 | 24 (6.0) | 33 | 3 (9.1) | 0 | 7 (21.2) | 6 | 67 | 7 | 2 | 55 | 8 |
| Arch TEVAR with BR | 1080 | 21 (1.9) | 3 | 33 (3.1) | 58 | 8 (13.8) | 0 | 9 (15.5) | 0 | 0 | 1 | 0 | 3 | 2 |
| Thoracoabdominal TEVAR with BR | 107 | 9 (8.4) | 1 (0.93) | 11 (10.3) | 15 | 1 (6.7) | 0 | 2 (13.3) | 0 | 0 | 0 | 0 | 0 | 0 |
| Other | 137 | 2 (1.5) | 0 | 6 (4.4) | 29 | 7 (24.1) | 0 | 8 (27.6) | 0 | 14 | 2 | 0 | 8 | 4 |
| Total | 10,796 | 234 (2.2) | 11 (0.10) | 405 (3.8) | 889 | 119 (13.4) | 1 (0.11) | 164 (18.4) | 386 | 2844 | 210 | 122 | 917 | 312 |
(), % mortality
Ao aorta, AVP aortic valve repair, AVR aortic valve replacement, MVP mitral valve repair, MVR mitral valve replacement, CABG coronary artery bypass grafting, TEVAR thoracic endovascular aortic (aneurysm) repair