Sex-Based Differences in Dissection Patterns and Surgical Strategies in Tear-Oriented Repair for Acute Type A Aortic Dissection: A Single-Center Retrospective Study.

Resultado clave

In female patients, ascending entry tears enable less extensive surgeries without compromising outcomes, making emergent surgery appropriate even in elderly females.

Puntos clave

• This research aims to explore how sex-based differences affect dissection patterns and surgical strategies in aortic dissection.
• Retrospective analysis at a single center
• Comparison of dissection patterns between male and female patients
• Assessment of surgical outcomes based on entry tears location
• Female patients have more ascending entry tears, allowing for less extensive surgery
• Emergent surgical interventions are deemed safe for elderly female patients with suitable dissection patterns
• Surgical outcomes do not significantly differ based on sex when surgery is appropriately tailored