Type A aortic dissection after previous cardiac surgery: results of an integrated surgical approach.
Publication/Presentation Date
5-1-2014
Abstract
BACKGROUND: Stanford type A aortic dissection in patients with previous cardiac surgery (PCS) is a catastrophic disease. This investigation evaluates the results of a standardized integrated approach to type A dissection after PCS.
METHODS: Between 1993 and 2013, 629 patients with acute type A dissection (median age 61 [50 to 73] years, 64% males) underwent aortic repair utilizing a standardized integrated approach. Of these, 56 (9%) patients had PCS. Median follow-up was 4.1 (1.9 to 7.4) years (2,812 patient-years).
RESULTS: Patients with PCS were older (70 [60 to 75] vs 60 [50 to 72] years, p
CONCLUSIONS: Standardized integrated approach to acute type A aortic dissection in PCS patients results in acceptable postoperative mortality. Previous cardiac surgery should not be a reason to deny surgical repair in patients with type A dissection.
Volume
97
Issue
5
First Page
1582
Last Page
1588
ISSN
1552-6259
Published In/Presented At
Rylski, B., Desai, N. D., Bavaria, J. E., Moser, W., Vallabhajosyula, P., Pochettino, A., Szeto, W. Y., & Milewski, R. K. (2014). Type A aortic dissection after previous cardiac surgery: results of an integrated surgical approach. The Annals of thoracic surgery, 97(5), 1582–1589. https://doi.org/10.1016/j.athoracsur.2013.12.064
Disciplines
Medicine and Health Sciences
PubMedID
24629304
Department(s)
Department of Surgery
Document Type
Article