Al-Hafez, B., Demal, T.J., Detter, C., Mariscalco, G., Gatti, G., Mazzaro, E., Acharya, M., Peterss, S., Buech, J., Herve, A., Folliguet, T., Pettinari, M., Dell, A. A., Wisniewski, K., Pol, M., Piani, D., Jormalainen, M., Rodriguez, L. J., Pinto, AG., and Quintana, E.
This article examines the outcomes of patients with acute type A aortic dissection (ATAD) who underwent surgery after receiving preoperative cardiopulmonary resuscitation (CPR). The study analyzed data from the European registry of type A aortic dissection (ERTAAD) and included 2,266 ATAD patients from 19 European centers. The results showed that patients who required CPR before surgery had higher rates of postoperative complications, including stroke, heart failure, and the need for dialysis. They also had a higher 30-day mortality rate. However, when additional risk factors such as low ejection fraction, advanced age, and myocardial ischemia were present, the analysis did not indicate a significant increase in mortality, suggesting that surgery may still be a viable option for these patients. [Extracted from the article]