Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 51

The Centers for Disease Control estimates that more than 43,000 people die annually from aortic disease. The Aortic Center, a part of Baylor Heart and Vascular Services at Dallas, focuses on treating complex conditions related to the aorta. The Center’s clinical team understands the importance of early identification and swift referral to the appropriate surgical specialists – including cardiac surgeons and vascular surgeons. Using advanced diagnostic testing, the Center is able to understand the intricacies of each individual patient’s situation, proceed with the best endovascular or open treatment option for the patient’s circumstances, and rely on innovation and evidence-based research for novel approaches to cardiac and vascular surgery. The facilities at Baylor Dallas are equipped with 3-D, volume rendered, computerized tomography; stat echocardiography; magnetic resonance imaging (MRI); arteriogram; and ultrasound. Some aneurysms require emergent care. In other cases following assessment, a patient can electively and selectively choose the timing for intervention. Intervention may require traditional open surgery or an endovascular stent procedure, but the majority of patients with aortic disease may be successfully treated with minimally invasive approaches. COMPLEX AORTIC CASES As a tertiary referral center, the complexity of cases that often present to the Aortic Center’s medical staff require the experience and expertise that the Center’s team possesses to achieve successful outcomes with challenging cases. During the past several years, estimates indicated that more than 25 percent of aortic procedures performed by cardiac surgeons and vascular surgeons on the medical staff at Baylor Dallas were for life-threatening acute aortic dissections. Cardiac and Vascular surgeons on the medical staff at Baylor Dallas are often called upon for second opinions and/or review of complex clinical cases involving the aorta. Advanced treatment options offered through the Aortic Center Aortic Center include surgery with neurocerebral and spinal cord protection protocols, reconstruction of the aortic root with aortic valve-sparing techniques, complex arch and hybrid aortic arch reconstruction, and fenestrated and branched aortic endografts. AORTIC ANEURYSMS Aortic aneurysms are the 13th leading cause of death in the United States.* If an aortic aneurysm ruptures or dissects, it may cause life- threatening injuries. In fact, the overall mortality rate of an abdominal aortic aneurysm rupture is a staggering 75 to 90 percent, making it the third leading cause of Normal Abdominal death in men over 60. aorta aortic aneurysm With early detection *Source: Cleveland Clinic offered through the Aortic Center, an aneurysm can often be repaired with surgery or minimally invasive techniques. In fiscal year 2017, cardiac surgeons and vascular surgeons on the medical staff at the Aortic Center treated 201 patients with a variety of aneurysms. As the Center grows, it continues to gain national recognition. Again in 2017, U.S. News & World Report recognized the hospital’s abdominal aortic aneurysm (AAA) program as “High Performing” based on the number of patients treated and outcomes achieved. Vice Chair, Cardiovascular Surgery – Baylor University Medical Center at Dallas “As a tertiary care center, Baylor Dallas has the infrastructure and physician experience to accept emergent and elective cases referred to us by physicians across the country. The Aortic Center combines that experience from cardiac and vascular surgical teams to provide the quality of care we continue to see reflected in our outcomes.” J.C. MacHannaford, MD 49