Patients with acute aortic dissection were identified either prospectively at presentation or retrospectively by searching hospital discharge diagnosis records and/or the surgery, pathology and imaging databases. In brief, IRAD was founded by agreement of 12 aortic centers in 1996, with its main purpose being to assess the etiology, clinical features, imaging findings, treatment and outcomes of patients with acute aortic dissection (both type A and type B). The rationale and methodology of the International Registry of Acute Dissection (IRAD) have been published previously ( 1, 7). The present review aimed to evaluate and comment on the outcomes of TAAD surgery, as reported from IRAD analyses. In this setting, the international registry of acute aortic dissection (IRAD), the largest worldwide registry for acute aortic dissection, was established to assess clinical characteristics, management and outcomes of TAAD patients, minimizing the inherent biases seen in small surgical registries or single center series. In recent series, surgical mortality still ranges from 17% to 26% and TAAD continues to represent a great challenge for aortic surgeons ( 4- 6). Type A acute aortic dissection (TAAD) is a catastrophic event with a high natural mortality and morbidity ( 1- 3). Keywords: Type A aortic dissection aorta international registry of acute aortic dissection (IRAD) aortic surgery Mazzini Hospital, Teramo, Italy 2Cardiac Surgery, University of Michigan Health System, Ann Arbor, USA 3Division of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, USA 4Thoracic Aortic Center, Massachusetts General Hospital, Boston, USA 5Department of Thoracic and Cardiovascular Surgery, Tromsø University Hospital, Tromsø, Norway 6Division of Cardiovascular Surgery, University of Pennsylvania School of Medicine, Philadelphia, USA 7Department of Cardiothoracic Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel 8Department of Cardiology and Cardiac Surgery, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy 9Division of Cardiothoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, USA 10Cardiovascular Center, University of Michigan Health System, Ann Arbor, USA 11Department of Cardiac Surgery, S.Orsola-Malpighi Hospital, University of Bologna, Italy 12Interventional Cardiology Unit, San Salvatore Hospital, Pesaro, Italy 13Cardiology and Aortic Centre, The Royal Brompton & Harefield NHS Trust, London, UK 14Thoracic Aortic Research Center, IRCCS Policlinico San Donato, San Donato, Italy Eagle 10, Santi Trimarchi 14, Marco Di Eusanio 1ġDivision of Cardiac Surgery, G. Isselbacher 4, Roberto Di Bartolomeo 11, Rossella Fattori 12, Christoph A. Sundt 4, Truls Myrmel 5, Nimesh Desai 6, Amit Korach 7, Antonello Panza 8, Joe Bavaria 6, Ali Khoynezhad 9, Elise Woznicki 10, Dan Montgomery 10, Eric M.
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