Titill: | Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry |
Höfundur: |
... 5 fleiri höfundar Sýna alla höfunda |
Útgáfa: | 2018-09 |
Tungumál: | Enska |
Umfang: | 939-948 |
Háskóli/Stofnun: | Háskóli Íslands (HÍ) University of Iceland (UI) |
Svið: | Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) |
Deild: | Læknadeild (HÍ) Faculty of Medicine (UI) |
Birtist í: | The Journal of Thoracic and Cardiovascular Surgery;156(3) |
ISSN: | 0022-5223 |
DOI: | 10.1016/j.jtcvs.2018.03.144 |
Efnisorð: | Aortic dissection; Reoperation; Midterm; Outcome; Æðasjúkdómar; Blóðrásarsjúkdómar; Sjúklingar; Batahorfur |
URI: | https://hdl.handle.net/20.500.11815/1457 |
Tilvitnun:Pan, E. et al., 2018. Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry. The Journal of Thoracic and Cardiovascular Surgery, 156(3), pp.939–948.
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Útdráttur:Objectives: To describe the relationship between the extent of primary aortic repair and the incidence of reoperations after surgery for type A aortic dissection. Methods: A retrospective cohort of 1159 patients treated for type A aortic dissection at eight Nordic low- to medium-sized cardiothoracic centers from 2005 to 2014. Data were gathered from patient records and national registries. Patients were separately divided into 3 groups according to the distal anastomoses technique (ascending aorta [n = 791], hemiarch [n = 247], and total arch [n = 66]), and into 2 groups for proximal repair (aortic root replacement [n = 285] and supracoronary repair [n = 832]). Freedom from reoperation was estimated with cumulative incidence survival and Fine-Gray competing risk regression model was used to identify independent risk factors for reoperation. Results: The median follow-up was 2.7 years (range, 0-10 years). Altogether 51 out of 911 patients underwent reoperation. Freedom from distal reoperation at 5 years was 96.9%, with no significant difference between the groups (P =.22). Freedom from proximal reoperation at 5 years was 97.8%, with no difference between the groups (P =.84). Neither DeBakey classification nor the extent of proximal or distal repair predicted freedom from a later reoperation. The only independent risk factor associated with a later proximal reoperation was a history of connective tissue disease. Conclusions: Type A aortic dissection repair in low- to medium-volume centers was associated with a low reoperation rate and satisfactory midterm survival. The extent of the primary repair had no significant influence on reoperation rate or midterm survival.
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Athugasemdir:Publisher's version (útgefin grein)
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Leyfi:This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).https://doi.org/10.1016/j.jtcvs.2018.03.144The Journal of Thoracic and Cardiovascular SurgerycVolume 156, Number 3939ADULTADULT: AORTA
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