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 language | English |
|---|---|
| Pages (from-to) | 787-794 |
| Number of pages | 8 |
| Journal | Asian Cardiovascular and Thoracic Annals |
| Volume | 23 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - Sep 13 2015 |
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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
Cite this
Late reoperations after acute aortic dissection repair : Single-center experience. / Luciani, Nicola; De Geest, Raphael; Lauria, Giuseppe; Farina, Piero; Luciani, Marco; Glieca, Franco; Massetti, Massimo.
In: Asian Cardiovascular and Thoracic Annals, Vol. 23, No. 7, 13.09.2015, p. 787-794.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Late reoperations after acute aortic dissection repair
T2 - Single-center experience
AU - Luciani, Nicola
AU - De Geest, Raphael
AU - Lauria, Giuseppe
AU - Farina, Piero
AU - Luciani, Marco
AU - Glieca, Franco
AU - Massetti, Massimo
PY - 2015/9/13
Y1 - 2015/9/13
N2 - 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
AB - 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
KW - Aneurysm
KW - Aortic aneurysm
KW - Blood vessel prosthesis implantation
KW - Disease progression
KW - dissecting
KW - Marfan syndrome
KW - Reoperation
KW - thoracic
UR - http://www.scopus.com/inward/record.url?scp=84939138186&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84939138186&partnerID=8YFLogxK
U2 - 10.1177/0218492315584523
DO - 10.1177/0218492315584523
M3 - Article
VL - 23
SP - 787
EP - 794
JO - Asian Cardiovascular and Thoracic Annals
JF - Asian Cardiovascular and Thoracic Annals
SN - 0218-4923
IS - 7
ER -