Tag Archives: aortic dissection

Weekend Effect and Mortality Outcomes in Aortic Dissection: A Prospective Analysis

Cosmin Marian Banceu1, Marius Harpa2, Klara Brinzaniuc2, Nicolae Neagu2, Dan Alexandru Szabo2, Diana Mariana Banceu3, Hussam Al Hussein2, Daiana Cristutiu3, Alexandra Puscas2, Alexandru Stan2, Marvin Oprean4, Adrian Popentiu5, Marius Neamtu Halic6, Horatiu Suciu2

1 Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania
2 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania.
3 Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, Romania; Targu Mures Institute for Cardiovascular Diseases and Heart Transplantation, Targu Mures, Romania
4 Amherst College, Amherst, Massachusetts, USA
5 Faculty of Medicine, Lucian Blaga University of Sibiu, Sibiu, Romania
6 Swiss Federal Institute of Forest, Snow and Landscape Research WSL, Birmensdorf, Switzerland; Institute of Environmental Engineering, ETH Zurich, Switzerland; Swiss Federal Institute for Environmental Science and Technology – Eawag, Switzerland

DOI: 10.2478/jccm-2024-0014

Background: Aortic dissection (AD) is a critical heart condition with potentially severe outcomes. Our study aimed to investigate the existence of a “weekend effect” in AD by examining the correlation between patient outcomes and whether their treatment occurred on weekdays versus weekends.
Methods: Specifically, we prospectively analysed the effect of weekday and weekend treatment on acute AD patient outcomes, both before surgical intervention and during hospitalization, for 124 patients treated from 2019–2021, as well as during 6 months of follow-up.
Results: The mean age of the study population was 62.5 years, and patient age exhibited a high degree of variability. We recorded a mortality rate before surgery of 8.65% for the weekend group and 15% for the weekday group, but this difference was not statistically significant. During hospitalization, mortality was 50% in the weekend group and 25% in the weekday group, but this difference was not statistically significant. Discharge mortality was 9.61% in the weekend group and 5% in the weekday group.
Conclusions: Our findings suggest that there was no significant difference in mortality rates between patients admitted to the hospital on weekends versus weekdays. Therefore, the period of the week when a patient presents to the hospital with AD appears not to affect their mortality.

Keywords: , , ,
Full text: PDF

The Gender Gap in Aortic Dissection:
A Prospective Analysis of Risk and Outcomes

Cosmin Banceu 1,2,3, Marius Harpa1,3, Klara Brinzaniuc1, Ioan Tilea1, Andreea Varga1, Mirela Liana Gliga1, Septimiu Voidazan1,3, Nicolae Neagu1, Dan Alexandru Szabo1, Diana Banceu4, Daiana Cristutiu3, Ionut Alexandru Balmos1, Alexandra Puscas1,3, Marvin Oprean4, Horatiu Suciu1,3

1 George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania
2 I.O.S.U.D George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, Romania
3 Emergency Institute for Cardiovascular Diseases and Transplantation Targu Mures, Romania
4 Dimitrie Cantemir University of Targu Mures, Romania

DOI: 10.2478/jccm-2023-0024

Aortic dissection (AD) is a severe cardiovascular condition that could have negative consequences. Our study employed a prospective design and examined preoperative, perioperative, and postoperative data to evaluate the effects of gender on various medical conditions. We looked at how gender affected the results of aortic dissection (AD). In contrast to female patients who had more systemic hypertension (p=0.031), male patients had higher rates of hemopericardium (p=0.003), pulmonary hypertension (p=0.039), and hemopericardium (p=0.003). Dobutamine administration during surgery significantly raised the mortality risk (p=0.015). There were noticeably more women patients (p=0.01) in the 71 to 80 age group. Significant differences in age (p=0.004), eGFR at admission (p=0.009), and eGFR at discharge (p=0.006) were seen, however, there was no association between gender and mortality. In conclusion, our findings highlight that gender may no longer be such an important aspect of aortic dissection disease as we previously thought, and this information could have an important contribution for surgeons as well as for anesthesiologists involved in the management of acute aortic dissection.

Keywords: , , , ,
Full text: PDF

An Incident of a Massive Pulmonary
Embolism following Acute Aortic Dissection. A Case Report

Sofia Fernandes1, Mariana Rodrigues1, Catarina Barreiros1, Hugo Côrte-Real2, Ricardo Ferreira2, Ângelo Nobre2

1. Department of Anesthesiology, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal
2. Department of Cardiothoracic Surgery, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal

DOI: 10.2478/jccm-2021-0001

Acute aortic dissection and acute pulmonary embolism are two life-threatening emergencies. The presented case is of an 81-year-old man who has been diagnosed with an acute Stanford type A aortic dissection and referred to a tertiary hospital for surgical treatment. After a successful aortic repair and an overall favourable postoperative recovery, he was diagnosed with cervical and upper extremity deep vein thrombosis and was anticoagulated accordingly. He later presented with massive bilateral pulmonary embolism.

Keywords: , ,
Full text: PDF