Type A Aortic Dissection Following Abdominal Solid Organ Transplantation: Population‐Level Outcomes in the United States

• DOI: 10.1111/ctr.70130
• Publication Date: 2025-03-12T21:16:26Z
• Authors: Yunda Wang; Joy Mohnot; Kanhua Yin; Nikola Dobrilovic; Yong Zhan

ABSTRACT Background This study aims to analyze the patient characteristics, clinical outcomes, and contemporary trends concerning type A aortic dissection (TAAD) in previous recipients of abdominal solid organ transplantation (ASOT) United States. Methods The National Inpatient Sample was queried identify all patients aged ≥18 with TAAD a history ASOT (TAAD‐ASOT) between 2002 2015Q3 using ICD‐9 diagnosis procedure codes. Baseline characteristics in‐hospital outcomes were compared TAAD‐ASOT without (TAAD‐non‐ASOT). Results We identified weighted total 71 061 patients. Among them, 346 (0.49%) recipients; these, 318 (91.9%) kidney transplant recipients, 28 (8.1%) liver recipients. There is an increasing trend incidence among over period (p‐trend < 0.001). Compared TAAD‐non‐ASOT patients, younger (54.7 vs. 60.7 years, p 0.001), less likely be White (53.8% 69.1%, = 0.008), associated higher Charlson Comorbidity Index (3.79 2.26, also exhibited significantly mortality (27.4% 17.8%, 0.03) greater risk renal complications (53.5% 29.7%, Multivariable analysis indicated that independently increased rate (adjusted odds ratio 1.83, 95% CI 1.01–3.31, 0.04). Conclusions but presented comorbidity burden, elevated rate, postoperative rising unfavorable emphasize need for future preventative measures enhancements surgical outcomes.