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Abstract
To assess the outcome of 3 different surgical approaches for treatment of aortic dissection type A. Between October 2012 and February 2014, we operated on 80 patients (pts) for acute and chronic aortic dissection. Follow - up was complete for 66 pts (82.5%). Supracoronary replacement of the ascending aorta was applied to 46 pts, 15 pts received a composite replacement (modified bentall procedure), and 19 pts were treated with the aorta valve - sparing (tirone david 1) reimplantation technique. Pts in SCR were older compared with TD and bentall (P = 0.003), gender (overall 83.8% male, P = 0.331) presence of BAV (overall 6.3%, p = 0.001) and presence of Marfan syndrome (overall 15%, P = 0.001) were comparable. Arterial cannulation more often via femoral artery (83.8%). Mean operation time, extracorporeal circulation time, and aortic cross - clamp time differ significantly between groups (P = 0.010, P = 0.001 and P = 0.013 respectively). also Stay in the intensive care unit (P = 0.022) and time of hospitalization (P = 0.045) were comparable show significant difference. Overall perioperative mortality was 17.5% and did not show significant differences between groups TD 21.1% versus bentall 13.3% versus SCR 18.2%; P- 0.842