{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T21:30:17Z","timestamp":1789507817891,"version":"build-2803163510"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2021,4,8]],"date-time":"2021-04-08T00:00:00Z","timestamp":1617840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,10,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We investigated the various pre- and postoperative complications related to early (30-day) mortality after open surgery for acute type A aortic dissection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Data from the Tokyo Acute Aortic Super-network database spanning January 2015 to December 2017 were retrospectively reviewed. Pre- and postoperative factors related to early postoperative mortality were assessed in 1504 of 2058 (73.0%) consecutive patients [age: 66.6 (SD: 13.5) years, male: 52.9%] who underwent acute type A aortic dissection repair.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The early mortality rate following surgical repair was 8.9%. According to multivariable analysis, male sex [odds ratio (OR) 1.670, 95% confidence interval (CI) 1.063\u20132.624, P\u2009=\u20090.026], use of percutaneous circulatory assist devices (n\u2009=\u2009116, 7.7%) including extracorporeal membrane oxygenators or intra-aortic balloon pumps (OR 4.857, 95% CI 2.867\u20138.228, P\u2009&amp;lt;\u20090.001), shock (n\u2009=\u2009162, 10.8%) (OR 3.06, 95% CI 1.741\u20135.387, P\u2009&amp;lt;\u20090.001), cardiopulmonary arrest (n\u2009=\u200941, 2.7%) (OR 7.534, 95% CI 3.407\u201316.661, P\u2009&amp;lt;\u20090.001), coronary ischaemia (n\u2009=\u200936, 2.3%) (OR 2.583, 95% CI 1.042\u20136.404, P\u2009=\u20090.041) and cerebral ischaemia (n\u2009=\u200959, 3.9%) (OR 2.904, 95% CI 1.347\u20136.261, P\u2009=\u20090.007) were independent preoperative risk factors for early mortality, while cardiac tamponade (n\u2009=\u200934, 2.3%) (OR 10.282, 95% CI 4.640\u201322.785, P\u2009&amp;lt;\u20090.001), cerebral ischaemia (n\u2009=\u200980, 5.3%) (OR 2.409, 95% CI 1.179\u20134.923, P\u2009=\u20090.016) and mesenteric ischaemia (n\u2009=\u200915, 1.0%) (OR 44.763, 95% CI 13.027\u2013153.808, P\u2009&amp;lt;\u20090.001) were independent postoperative risk factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Not only critical preoperative conditions but also postoperative cardiac tamponade and vital organ ischaemia are risk factors for early mortality after acute type A aortic dissection repair.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezab146","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T07:09:48Z","timestamp":1615446588000},"page":"957-964","source":"Crossref","is-referenced-by-count":24,"title":["Risk analysis for early mortality in emergency acute type A aortic dissection surgery: experience of Tokyo Acute Aortic Super-network"],"prefix":"10.1093","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6396-0437","authenticated-orcid":false,"given":"Manabu","family":"Yamasaki","sequence":"first","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"},{"name":"Department of Cardiovascular Surgery, St. Luke's International Hospital, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4976-4055","authenticated-orcid":false,"given":"Hideaki","family":"Yoshino","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6903-6501","authenticated-orcid":false,"given":"Takashi","family":"Kunihara","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichi","family":"Akutsu","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Shimokawa","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Ogino","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuhiro","family":"Kawata","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiyuki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6588-3305","authenticated-orcid":false,"given":"Michio","family":"Usui","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroshi","family":"Masuhara","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Nagao","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morimasa","family":"Takayama","sequence":"additional","affiliation":[{"name":"Tokyo CCU Network Scientific Committee, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,4,8]]},"reference":[{"key":"2021102217442455800_ezab146-B1","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1093\/ejcts\/ezz323","article-title":"Patient trends and outcomes of surgery for type A acute aortic dissection in Japan: an analysis of more than 10\u2009000 patients from the Japan Cardiovascular Surgery Database","volume":"57","author":"Abe","year":"2020","journal-title":"Eur J Cardiothorac 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