Late reoperations after acute aortic dissection repair: Single-center experience

Nicola Luciani, Raphael De Geest, Giuseppe Lauria, Piero Farina, Marco Luciani, Franco Glieca, Massimo Massetti

Research output: Contribution to journalArticlepeer-review

Abstract

Background After repair of acute type A aortic dissection, aortic complications can develop, and reoperations might be necessary. In our retrospective study, we wanted to assess early and late outcomes in this cohort of patients. Methods From September 2005 to July 2012, 21 consecutive patients previously operated on for acute type A aortic dissection underwent 27 redo aortic surgical procedures. Indications for redo procedures were: enlargement of the false lumen in the residual aorta (18 events), severe aortic regurgitation with or without aortic root dilatation (8 events), suture dehiscence and pseudoaneurysm at the proximal or distal aortic graft anastomosis (5 events) or at the coronary button anastomosis in patients who previously underwent a Bentall procedure (1 patient). In all cases, total or partial cardiopulmonary bypass was used. Hypothermic cardiocirculatory arrest was needed in 22 (81%) procedures. Results Hospital mortality was 3.7% (1/27), reexploration for bleeding and paraplegia rates were 7.4% and 7.4%, respectively. Marfan patients received 3.2 procedures per patient vs. 1.5 in non-Marfan patients (p

Original languageEnglish
Pages (from-to)787-794
Number of pages8
JournalAsian Cardiovascular and Thoracic Annals
Volume23
Issue number7
DOIs
Publication statusPublished - Sep 13 2015

Keywords

  • Aneurysm
  • Aortic aneurysm
  • Blood vessel prosthesis implantation
  • Disease progression
  • dissecting
  • Marfan syndrome
  • Reoperation
  • thoracic

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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