{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T22:43:12Z","timestamp":1783550592856,"version":"3.55.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2020,11,21]],"date-time":"2020-11-21T00:00:00Z","timestamp":1605916800000},"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":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The goal was to evaluate outcomes after conservative or surgical treatment of acute aortic arch dissections.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between January 2009 and December 2018, patients with a diagnosis of acute aortic dissection were analysed. Aortic arch aortic dissection was defined as a dissection with an isolated entry tear at the aortic arch with no involvement of the ascending aorta.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Aortic arch dissection was diagnosed in 31 patients (age 59\u2009\u00b1\u200911\u2009years). Surgical intervention was performed in 13 (41.9%) cases. Overall in-hospital mortality was 3% (n\u2009=\u20091), and all deaths occurred in the conservative group (n\u2009=\u20091; 6%), whereas the overall stroke rate was 3% (n\u2009=\u20091), and all strokes occurred in the group treated surgically (n\u2009=\u20091; 8%). Surgical repair was necessary for the following conditions: end-organ malperfusion (n\u2009=\u20099; 69%), impending rupture (n\u2009=\u20093; 23%) and dilatation of the aorta with ongoing pain refractory to medical treatment (n\u2009=\u20091; 8%). Overall survival at the end of the follow-up period was 71%, with 77% in the surgical group and 63% in the conservative group (P\u2009=\u20090.91). Freedom from surgical intervention was 71%, with 82% in the surgical and 63% in the conservative group (P\u2009=\u20090.21), and freedom from a neurological event was 88%, with 89% versus 89% (P\u2009=\u20090.68) in the surgical and conservative groups, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Aortic arch dissection is a rare pathological condition that is one of the most challenging decision-making entities. Patients manifesting an uneventful course not requiring a surgical intervention during a hospital stay were at a higher risk for aorta-related intervention during the follow-up period. The treatment modality had no impact on survival or on the incidence of a neurological event.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaa228","type":"journal-article","created":{"date-parts":[[2020,9,12]],"date-time":"2020-09-12T11:11:09Z","timestamp":1599909069000},"page":"89-96","source":"Crossref","is-referenced-by-count":11,"title":["Acute aortic dissection with entry tear at the aortic arch: long-term outcome"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2929-8600","authenticated-orcid":false,"given":"Luca","family":"Koechlin","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Schuerpf","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jens","family":"Bremerich","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8952-0808","authenticated-orcid":false,"given":"Gregor","family":"Sommer","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitta","family":"Gahl","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oliver","family":"Reuthebuch","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenz","family":"Gurke","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edin","family":"Mujagic","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedrich","family":"Eckstein","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0478-903X","authenticated-orcid":false,"given":"Denis A","family":"Berdajs","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,11,21]]},"reference":[{"key":"2022030919155267900_ivaa228-B1","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. 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