Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry

The Journal of Thoracic and Cardiovascular Surgery
Emily PanJarmo Gunn

Abstract

To 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 predict...Continue Reading

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Citations

Mar 18, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Per VikholmStefan Thelin
Sep 24, 2019·Scandinavian Cardiovascular Journal : SCJ·Tomas GudbjartssonChristian Olsson
Feb 5, 2019·Interactive Cardiovascular and Thoracic Surgery·Daniel-Sebastian DohleChristian-Friedrich Vahl
Sep 18, 2020·Journal of Cardiac Surgery·Wahaj MunirBenjamin Adams
Aug 28, 2020·Journal of Clinical Medicine·Mikko JormalainenTatu Juvonen
Dec 29, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Igor VendraminUgolino Livi
Nov 8, 2018·The Journal of Thoracic and Cardiovascular Surgery·Arnar GeirssonTomas Gudbjartsson
Feb 10, 2019·The Journal of Thoracic and Cardiovascular Surgery·Hui ZhangLiang-Wan Chen
Apr 22, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·You Jung OkSuk Jung Choo
Nov 7, 2018·The Journal of Thoracic and Cardiovascular Surgery·Frank A Baciewicz
Jun 12, 2021·Journal of Cardiothoracic Surgery·Fausto BiancariTatu Juvonen
Aug 4, 2021·Interactive Cardiovascular and Thoracic Surgery·Hannu-Pekka HonkanenTatu Juvonen
Mar 3, 2020·The Journal of Thoracic and Cardiovascular Surgery·Dawn S Hui
Apr 4, 2020·The Journal of Thoracic and Cardiovascular Surgery·Eltayeb Mohamed Ahmed, Edward P Chen
Feb 26, 2019·The Journal of Thoracic and Cardiovascular Surgery·Ari A Mennander
Nov 10, 2021·World Journal of Surgery·Chun-Yu LinYu-Hsuan Lin
Nov 17, 2021·Journal of Cardiac Surgery·Akash FichadiyaJehangir J Appoo
Nov 18, 2021·Khirurgiia·G I SalagaevYu V Belov

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