{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:46:02Z","timestamp":1780623962833,"version":"3.54.1"},"reference-count":27,"publisher":"IMR Press","issue":"4","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Cardiovasc. Med."],"abstract":"<jats:p>Background: To investigate short- and intermediate-term outcomes of immediate (on table) recognition and surgical treatment of iatrogenic acute type A aortic dissection (ATAD) that occurred during the course of the cardiac surgical procedures. Methods: Of 23,143 adult patients undergoing cardiac surgical procedures at our institution from January 2016 to December 2020, 21 (0.09%) suffered from intraoperative iatrogenic ATAD and underwent immediate aortic repair. Their clinical characteristics, in-hospital outcomes and follow-up results were analyzed. Results: Among the 21 patients, 13 (61.9%) suffered from hypertension, and 14 (66.7%) had a dilated ascending aorta. In-hospital mortality was 9.5%, and new onset of permanent neurologic deficit was recorded in one patient. During a median follow-up of 36.0 months, all 18 follow-up patients survived without repeated surgeries. A follow-up computed tomography (CT) examination revealed a residual false lumen in the aortic arch in 3 patients and in the descending aorta in 8, with residual false lumen perfusion in one. Conclusions: Immediate recognition and surgical repair of ATAD that developed as a complication during cardiac surgical procedures are associated with low mortality and high intermediate-term survival.<\/jats:p>","DOI":"10.31083\/j.rcm2304140","type":"journal-article","created":{"date-parts":[[2022,4,14]],"date-time":"2022-04-14T09:25:54Z","timestamp":1649928354000},"source":"Crossref","is-referenced-by-count":3,"title":["Immediate Recognition and Surgical Treatment of Iatrogenic Acute Type A Aortic Dissection Is Associated with Low Hospital Mortality and High Intermediate-Term Survival"],"prefix":"10.31083","volume":"23","author":[{"given":"Yulin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangyu","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Song","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Lai","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongxin","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Li","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunsheng","family":"Wang","sequence":"first","affiliation":[{"name":"Shanghai Municipal Institute for Cardiovascular Diseases, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Ji","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Zhongshan Hospital Fudan University, 200032 Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"16242","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Zhu Y, Lingala B, Baiocchi M, Tao JJ, Toro Arana V, Khoo JW, et al. 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