Table 3.
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 | 1934 | 129 (6.7) | 2 (0.10) | 175 (9.0) | 4 | 1 (25.0) | 0 | 1 (25.0) | 222 | 6 (2.7) | 0 | 7 (3.2) | 3 | 0 | 0 | 0 | 56 | 130 | 18 | 11 | 84 | 35 | |
Aortic Root | 188 | 22 (11.7) | 0 | 25 (13.3) | 0 | 0 | 0 | 0 | 94 | 3 (3.2) | 1 (1.1) | 5 (5.3) | 5 | 0 | 0 | 0 | 29 | 194 | 2 | 1 | 66 | 6 | |
Arch | 2092 | 143 (6.8) | 1 (0.05) | 190 (9.1) | 21 | 0 | 0 | 0 | 393 | 5 (1.3) | 0 | 11 (2.8) | 176 | 9 (5.1) | 0 | 13 (7.4) | 66 | 133 | 11 | 11 | 124 | 32 | |
Aortic root + asc. Ao. + Arch | 170 | 20 (11.8) | 0 | 27 (15.9) | 1 | 0 | 0 | 0 | 60 | 2 (3.3) | 0 | 3 (5.0) | 7 | 1 (14.3) | 0 | 1 (14.3) | 31 | 151 | 2 | 0 | 56 | 0 | |
Descending Ao | 20 | 0 | 0 | 1 (5.0) | 33 | 4 (12.1) | 0 | 5 (15.2) | 73 | 1 (1.4) | 0 | 3 (4.1) | 201 | 3 (1.5) | 0 | 9 (4.5) | 2 | 2 | 0 | 0 | 2 | 0 | |
Thoracoabdominal | 2 | 0 | 0 | 0 | 19 | 2 (10.5) | 0 | 4 (21.1) | 55 | 4 (7.3) | 0 | 6 (10.9) | 163 | 12 (7.4) | 0 | 18 (11.0) | 0 | 0 | 0 | 0 | 0 | 0 | |
Simple TEVAR | 105 | 9 (8.6) | 0 | 12 (11.4) | 450 | 37 (8.2) | 1 (0.2) | 43 (9.6) | 251 | 2 (0.8) | 1 (0.4) | 4 (1.6) | 1186 | 14 (1.2) | 1 (0.1) | 22 (1.9) | 0 | 1 | 0 | 0 | 0 | 1 | |
Open SG with BR | 1350 | 112 (8.3) | 2 (0.15) | 135 (10.0) | 59 | 3 (5.1) | 0 | 6 (10.2) | 193 | 4 (2.1) | 1 (0.5) | 8 (4.1) | 229 | 8 (3.5) | 0 | 11 (4.8) | 48 | 132 | 7 | 3 | 103 | 13 | |
Open SG without BR | 526 | 50 (9.5) | 0 | 62 (11.8) | 21 | 2 (9.5) | 0 | 2 (9.5) | 74 | 1 (1.4) | 0 | 3 (4.1) | 85 | 3 (3.5) | 0 | 4 (4.7) | 17 | 47 | 3 | 1 | 34 | 2 | |
Arch TEVAR with BR | 20 | 0 | 0 | 0 | 146 | 11 (7.5) | 0 | 13 (8.9) | 67 | 1 (1.5) | 0 | 2 (3.0) | 431 | 5 (1.2) | 0 | 7 (1.6) | 0 | 0 | 0 | 0 | 0 | 0 | |
Thoracoabdominal TEVAR with BR | 3 | 0 | 0 | 0 | 3 | 0 | 0 | 0 | 8 | 0 | 0 | 0 | 23 | 2 (8.7) | 0 | 3 (13.0) | 0 | 0 | 0 | 0 | 0 | 0 | |
Other | 6 | 2 (33.3) | 0 | 2 (33.3) | 21 | 4 (19.0) | 0 | 6 (28.6) | 19 | 1 (5.3) | 0 | 1 (5.3) | 35 | 0 | 0 | 1 (2.9) | 0 | 0 | 0 | 0 | 0 | 0 | |
Total | 6416 | 323 (5.0) | 5 (0.08) | 629 (9.8) | 778 | 64 (8.2) | 1 (0.1) | 80 (10.3) | 1509 | 30 (2.0) | 3 (0.2) | 53 (3.5) | 2544 | 57 (2.2) | 1 (0.0) | 89 (3.5) | 249 | 790 | 43 | 27 | 469 | 89 | |
(), % 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; 11,735) | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 | 1334 | 20 (1.5) | 3 (0.22) | 38 (2.8) | 53 | 3 (5.7) | 0 | 9 (17.0) | 37 | 929 | 69 | 40 | 154 | 88 |
Aortic Root | 1114 | 27 (2.4) | 0 | 42 (3.8) | 50 | 10 (20.0) | 0 | 14 (28.0) | 285 | 790 | 67 | 34 | 148 | 63 |
Arch | 2041 | 35 (1.7) | 1 (0.05) | 71 (3.5) | 98 | 10 (10.2) | 0 | 15 (15.3) | 34 | 571 | 47 | 17 | 260 | 83 |
Aortic root + asc. Ao. + Arch | 259 | 9 (3.5) | 0 | 15 (5.8) | 16 | 5 (31.3) | 0 | 5 (31.3) | 49 | 190 | 9 | 4 | 39 | 11 |
Descending Ao | 276 | 10 (3.6) | 0 | 22 (8.0) | 36 | 4 (11.1) | 0 | 6 (16.7) | 1 | 3 | 1 | 0 | 10 | 3 |
Thoracoabdominal | 322 | 12 (3.7) | 0 | 21 (6.5) | 35 | 7 (20.0) | 0 | 8 (22.9) | 0 | 0 | 0 | 0 | 0 | 0 |
Simple TEVAR | 2417 | 36 (1.5) | 5 (0.21) | 65 (2.7) | 349 | 49 (14.0) | 2 (0.57) | 64 (18.3) | 0 | 0 | 0 | 0 | 1 | 6 |
Open SG with BR | 1200 | 36 (3.0) | 0 | 70 (5.8) | 81 | 11 (13.6) | 0 | 17 (21.0) | 21 | 134 | 13 | 6 | 185 | 24 |
Open SG without BR | 464 | 7 (1.5) | 0 | 21 (4.5) | 38 | 4 (10.5) | 0 | 7 (18.4) | 6 | 79 | 6 | 4 | 49 | 19 |
Arch TEVAR with BR | 1190 | 19 (1.6) | 3 | 44 (3.7) | 75 | 9 (12.0) | 0 | 13 (17.3) | 0 | 3 | 0 | 0 | 5 | 4 |
Thoracoabdominal TEVAR with BR | 98 | 4 (4.1) | 1 (1.02) | 10 (10.2) | 14 | 1 (7.1) | 0 | 2 (14.3) | 0 | 0 | 0 | 0 | 0 | 0 |
Other | 153 | 6 (3.9) | 1 (0.65) | 9 (5.9) | 22 | 4 (18.2) | 0 | 5 (22.7) | 0 | 13 | 0 | 1 | 5 | 5 |
Total | 10,868 | 221 (2.0) | 14 (0.13) | 428 (3.9) | 867 | 117 (13.5) | 2 (0.23) | 165 (19.0) | 433 | 2712 | 212 | 106 | 856 | 306 |
(), % 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 |