Reprint of: Reoperations on the total aortic arch in 119 patients: short- and mid-term outcomes, focusing on composite adverse outcomes and survival analysis

The Journal of Thoracic and Cardiovascular Surgery
Ourania PreventzaJoseph S Coselli

Abstract

To determine the preoperative and perioperative risk factors that significantly predict adverse outcomes after total arch replacement in patients with previous proximal aortic surgery and to analyze patient survival. We performed univariate analysis and logistic regression on data extracted from a prospectively maintained database for 119 patients who had undergone total arch operations during a 7.5-year period. All patients had undergone previous proximal aortic surgery. The adverse outcome was defined as a single composite endpoint comprising operative mortality, permanent neurologic deficit, and renal failure necessitating permanent hemodialysis. The incidence of the composite endpoint was 13.5% (16 of 119 patients). The univariate predictors were preoperative pulmonary disease (P = .010), cardiac ischemia time (P = .032), and cardiopulmonary bypass (CPB) time (P = .073). On multivariate analysis, the following were predictors of the composite endpoint: preoperative pulmonary disease (P = .036), CPB time (P = .039), concomitant coronary artery bypass (P = .0057), previous aortic valve replacement (P = .027), and previous thoracoabdominal aortic aneurysm surgery (P = .057). Multivariate analysis showed that the CPB time predi...Continue Reading

References

Jun 25, 2005·The Annals of Thoracic Surgery·David SpielvogelRandall B Griepp
Mar 1, 2011·The Annals of Thoracic Surgery·Scott A LeMaireJoseph S Coselli
Apr 5, 2011·The Journal of Thoracic and Cardiovascular Surgery·Himanshu J PatelG Michael Deeb
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Yutaka IbaHitoshi Ogino
Dec 25, 2012·The Journal of Thoracic and Cardiovascular Surgery·Ourania PreventzaJoseph S Coselli
Dec 26, 2012·The Journal of Thoracic and Cardiovascular Surgery·Yutaka OkitaShunsuke Miyahara
Sep 3, 2013·The Journal of Thoracic and Cardiovascular Surgery·Jennifer HigginsMichael T Janusz
Mar 19, 2014·The Journal of Thoracic and Cardiovascular Surgery·Bradley G LeshnowerEdward P Chen

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Citations

Aug 29, 2016·Seminars in Thoracic and Cardiovascular Surgery·Joseph S Coselli, Kim I de la Cruz
May 10, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Florian S SchoenhoffThierry P Carrel
May 11, 2021·Seminars in Thoracic and Cardiovascular Surgery·Xiaoying LouEdward P Chen
Oct 8, 2021·Aorta : Official Journal of the Aortic Institute at Yale-New Haven Hospital·Petar RisteskiPaul P Urbanski
May 11, 2021·The Annals of Thoracic Surgery·Ourania PreventzaJoseph S Coselli

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