Outcomes of aortic root replacement after previous aortic root replacement: the "true" redo root

The Annals of Thoracic Surgery
Arminder S JassarJoseph E Bavaria

Abstract

Aortic reoperations are technically challenging. This study evaluated outcomes after "true" redo root replacement (previous full root replacement) stratified by cause of prosthesis failure. Data were compared for 793 patients who underwent a first-time sternotomy (de novo group) and 120 patients who had previously undergone full aortic root replacement (redo group), of which 76 underwent reoperation due to structural valve deterioration (degenerative group), and 44 due to endocarditis (infection group). Overall mortality was 4% (n = 28) in the de novo group and 5% (n = 6) in the redo group (p = 0.43) (degenerative group, 3%, infection group, 9%; p = 0.19). The infection group had an increased incidence of renal failure, sternal infection, prolonged ventilation, reoperation for bleeding, multisystem failure, and sepsis, and an increased hospital length of stay. The degenerative group and the de novo group had a similar risk of perioperative death and major complications. The 5-year survival was 86.3% ± 1.3% for the de novo group and 77.3% ± 4.6% for the redo group (p ≤ 0.01; degenerative, 86.3% ± 5%; infection, 65.3% ± 7.7%; p < 0.01; p = 0.98 for de novo vs degenerative). Multivariate analysis demonstrated that reoperation for ...Continue Reading

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Citations

Jun 20, 2017·The Journal of Thoracic and Cardiovascular Surgery·Hans-Joachim Schäfers
Aug 20, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Adriaan W SchneiderJerry Braun
May 10, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexander HorkeSamir Sarikouch
May 23, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexander HorkeSamir Sarikouch
Aug 18, 2020·Journal of Cardiac Surgery·Ngozichukwuka L E OkiweluJames Edwards
Jul 3, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Lars HeubnerHans-Joachim Schäfers
Jun 1, 2019·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Giuseppe Filiberto SerrainoGiovanni Mariscalco
Mar 28, 2020·The Annals of Thoracic Surgery·Laichun SongLiang Tao
May 11, 2020·The Journal of Thoracic and Cardiovascular Surgery·Amine MazineMaral Ouzounian
Jul 30, 2021·Journal of Cardiothoracic Surgery·Jianying Deng, Qianjin Zhong
Jun 9, 2019·Heart, Lung & Circulation·Chang LiuPeter Tesar

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