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. 2016 Mar;64(2):91-9.
doi: 10.1055/s-0035-1548734. Epub 2015 Apr 10.

Long-Term Outcome and Quality of Life in Aortic Type A Dissection Survivors

Matthias Endlich  1 , Marwan Hamiko  1 , Christopher Gestrich  1 , Chris Probst  1 , Fritz Mellert  1 , Kai Winkler  1 , Armin Welz  1 , Wolfgang Schiller  1
Affiliations

Long-Term Outcome and Quality of Life in Aortic Type A Dissection Survivors

Matthias Endlich et al. Thorac Cardiovasc Surg. 2016 Mar.

Abstract

Background: Aortic dissection is a severe and sophisticated disease that is often linked with a number of possible complications. Our study concerns with long-term outcome and quality of life (QoL) in acute aortic dissection type A (AADA) survivors.

Methods: From January 1999 until December 2006, 120 consecutive patients with AADA received an emergency operation. Of the total number of patients, 84 were males (70.0%) and 36 females (30.0%), mean aged 59.8 ± 12 years with a mean follow-up (FU) of 99.2 ± 6 months.

Results: Overall mortality was 39.1% during the observational period with a maximum of 156 months. SF-36 observation showed a significant decay in both Physical Component Summary (PCS) and Mental Component Summary (MCS) in FUII (PCS = 38.4) versus FUI (PCS = 43.4, p = 0.013).

Conclusion: With ongoing postoperative time, patients did not recover but instead have got worse in terms of QoL. The decrease in MCP and linked subscores is an underestimated factor in QoL and long-term outcome after AADA. This is especially true in younger patients, which are judged to compensate better than older patients.

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