Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Hansson, Emma C
MetadataShow full item record
CitationLow rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry. 2018, 156(3):939-948 Journal of thoracic and cardiovascular surgery
AbstractTo describe the relationship between the extent of primary aortic repair and the incidence of reoperations after surgery for type A aortic dissection. A retrospective cohort of 1159 patients treated for type A aortic dissection at eight Nordic low- to medium-sized cardiothoracic centers from 2005 to 2014. Data were gathered from patient records and national registries. Patients were separately divided into 3 groups according to the distal anastomoses technique (ascending aorta [n = 791], hemiarch [n = 247], and total arch [n = 66]), and into 2 groups for proximal repair (aortic root replacement [n = 285] and supracoronary repair [n = 832]). Freedom from reoperation was estimated with cumulative incidence survival and Fine-Gray competing risk regression model was used to identify independent risk factors for reoperation. The median follow-up was 2.7 years (range, 0-10 years). Altogether 51 out of 911 patients underwent reoperation. Freedom from distal reoperation at 5 years was 96.9%, with no significant difference between the groups (P = .22). Freedom from proximal reoperation at 5 years was 97.8%, with no difference between the groups (P = .84). Neither DeBakey classification nor the extent of proximal or distal repair predicted freedom from a later reoperation. The only independent risk factor associated with a later proximal reoperation was a history of connective tissue disease. Type A aortic dissection repair in low- to medium-volume centers was associated with a low reoperation rate and satisfactory midterm survival. The extent of the primary repair had no significant influence on reoperation rate or midterm survival.
DescriptionTo access publisher's full text version of this article click on the hyperlink below
- Risk of late reoperations in patients with acute type A aortic dissection: impact of a more radical surgical approach.
- Authors: Pugliese P, Pessotto R, Santini F, Montalbano G, Luciani GB, Mazzucco A
- Issue date: 1998 May
- Antegrade thoracic stent grafting during repair of acute Debakey type I dissection promotes distal aortic remodeling and reduces late open distal reoperation rate.
- Authors: Vallabhajosyula P, Szeto WY, Pulsipher A, Desai N, Menon R, Moeller P, Musthaq S, Pochettino A, Bavaria JE
- Issue date: 2014 Mar
- Risk factor analysis for proximal and distal reoperations after surgery for acute type A aortic dissection.
- Authors: Kirsch M, Soustelle C, Houël R, Hillion ML, Loisance D
- Issue date: 2002 Feb
- Reoperation after acute type a aortic dissection repair: a series of 104 patients.
- Authors: Malvindi PG, van Putte BP, Sonker U, Heijmen RH, Schepens MA, Morshuis WJ
- Issue date: 2013 Mar
- Determinants of early and late outcome for reoperations of the proximal aorta.
- Authors: Estrera AL, Miller CC 3rd, Porat E, Mohamed S, Kincade R, Huynh TT, Safi HJ
- Issue date: 2004 Sep