{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:14:53Z","timestamp":1777526093470,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2013,11,13]],"date-time":"2013-11-13T00:00:00Z","timestamp":1384300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Type A aortic dissection is a serious and fatal condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively evaluated the outcome following repair of ascending aortic dissection in a contemporary cohort of 108 patients with a mean age of 59.5\u2009\u00b1\u200913.8 years, who were treated between 2006 and 2011. Most patients were male (70, 65%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Circulatory arrest with a mean duration of 22\u2009\u00b1\u200916\u2009min was performed in 42 (38.9%) patients. Perioperative mortality was 15.7% ( n\u2009=\u200917). Univariate analysis showed that cardiopulmonary bypass time ( p\u2009=\u20090.0006), age &gt;60 years ( p\u2009=\u20090.028), cardiogenic shock at presentation ( p\u2009=\u20090.02), New York Heart Association class II\u2013IV ( p\u2009=\u20090.038), hemopericardium ( p\u2009=\u20090.0035), and preoperative cerebrovascular accident ( p\u2009=\u20090.02) were predictors of mortality. Multivariate analysis indicated that age &gt;60 years (odds ratio 7.7, 95% confidence interval: 1.52\u201338.96, p\u2009=\u20090.0136), preoperative cerebrovascular accident (odds ratio 25.2, 95% confidence interval: 2.45\u2013258.9, p\u2009=\u20090.0066), hemopericardium (odds ratio 41.6, 95% confidence interval: 5.38\u2013320.7, p\u2009=\u20090.0003), and cardiopulmonary bypass time (odds ratio 1.85, 95% confidence interval: 1.32\u20132.57, p\u2009=\u20090.0003) were independent predictors of perioperative mortality. The 1- and 4-year survival was 80%\u2009\u00b1\u20093.8% and 69%\u2009\u00b1\u20095.7%, respectively. Age &gt;60 years (hazard ratio 3.3, 95% confidence interval: 1.4\u20137.9, p\u2009=\u20090.0064) was the only independent predictor of long-term mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our results identify the major risk factors for perioperative and long-term mortality. Age is an independent risk factor for mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492313506921","type":"journal-article","created":{"date-parts":[[2013,11,13]],"date-time":"2013-11-13T23:15:15Z","timestamp":1384384515000},"page":"687-693","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["The outcome of surgical management of type A aortic dissection"],"prefix":"10.1177","volume":"22","author":[{"given":"Edvard","family":"Skripochnik","sequence":"first","affiliation":[{"name":"Department of Cardiovascular and Thorscic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thorscic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E","family":"Michler","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thorscic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyamek","family":"Neragi-Miandoab","sequence":"additional","affiliation":[{"name":"Staten Island University Hospital, Department of Cardiothoracic Surgery, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,11,13]]},"reference":[{"key":"bibr1-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2008.182303"},{"key":"bibr2-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000087428.63818.50"},{"key":"bibr3-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.04.046"},{"key":"bibr4-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.04.067"},{"key":"bibr5-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(03)01046-8"},{"key":"bibr6-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.07.072"},{"key":"bibr7-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.01.030"},{"key":"bibr8-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.02.020"},{"key":"bibr9-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8191.2011.01387.x"},{"key":"bibr10-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.11.070"},{"key":"bibr11-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1177\/000313481107700128"},{"key":"bibr12-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezr292"},{"key":"bibr13-0218492313506921","first-page":"881","volume":"40","author":"Kim JB","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"bibr14-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.06.047"},{"key":"bibr15-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.07.016"},{"key":"bibr16-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.12.076"},{"key":"bibr17-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(00)00387-0"},{"key":"bibr18-0218492313506921","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2007.164871"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492313506921","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492313506921","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492313506921","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:28:30Z","timestamp":1777393710000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492313506921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,13]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1177\/0218492313506921"],"URL":"https:\/\/doi.org\/10.1177\/0218492313506921","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11,13]]}}}