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Thorac Cardiovasc Surg 2016; 64(02): 091-099
DOI: 10.1055/s-0035-1548734
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

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

Matthias Endlich
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Marwan Hamiko
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Christopher Gestrich
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Chris Probst
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Fritz Mellert
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Kai Winkler
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Armin Welz
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
,
Wolfgang Schiller
1   Department of Cardiovascular Surgery, University Hospital Bonn, Bonn, Germany
› Author Affiliations
Further Information

Publication History

18 November 2014

30 January 2015

Publication Date:
10 April 2015 (online)

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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.

Keywords

aortic dissection - SF-36 - quality of life - long-term outcome

Note

Parts of this article were presented at the annual meeting of the German Society for Thoracic and Cardiovascular Surgery. Date and venue of presentation: February 19, 2013, Messe Freiburg, 79108 Freiburg, Germany.


 

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