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Acute type A aortic dissection in the elderly: clinical characteristics, management, and outcomes in the current era

Rajendra H. Mehta, MD, FACC, MS^*,*, Patrick T. O’Gara, MD, FACC, Eduardo Bossone, MD, Christoph A. Nienaber, MD, FACC, Truls Myrmel, MD^||, Jeanna V. Cooper, MS^*, Dean E. Smith, PhD^*, William F. Armstrong, MD, FACC^*, Eric M. Isselbacher, MD, FACC^¶, Linda A. Pape, MD, FACC^#, Kim A. Eagle, MD, FACC^*, Dan Gilon, MD, FACC^** on behalf of the International Registry of Acute Aortic Dissection (IRAD) Investigators

^* University of Michigan, Ann Arbor, Michigan, USA
Brigham and Women’s Hospital, Boston, Massachusetts, USA
Istituto Policlinico San Donato, San Donato, Italy
University of Rostock, Rostock, Germany
^|| Tromsø University Hospital, Tromsø, Norway
^¶ Massachusetts General Hospital, Boston, Massachusetts, USA
^# University of Massachusetts Hospital, Worcester, Massachusetts, USA
^** Hadassah University Hospital, Jerusalem, Israel

View larger version (23K): [in a new window]   Figure 1 Kaplan-Meier survival curves for patients with type A aortic dissection age 70 years versus those <70 years treated medically or surgically. The log rank p = 0.003 for patients <70 years versus those 70 years treated with surgery. The log-rank p = 0.10 for patients <70 years versus those 70 years treated medically.

View larger version (34K): [in a new window]   Figure 2 In-hospital mortality (%) ± standard error (%) among different age groups of patients with acute type A aortic dissection treated medically or with surgery. Please note that there are no patients age 30 to 39 in the medical management group.