dc.contributor |
Háskóli Íslands (HÍ) |
dc.contributor |
University of Iceland (UI) |
dc.contributor.author |
Pan, Emily |
dc.contributor.author |
Gudbjartsson, Tomas |
dc.contributor.author |
Ahlsson, Anders |
dc.contributor.author |
Fuglsang, Simon |
dc.contributor.author |
Geirsson, Arnar |
dc.contributor.author |
Hansson, Emma C. |
dc.contributor.author |
Hjortdal, Vibeke |
dc.contributor.author |
Jeppsson, Anders |
dc.contributor.author |
Järvelä, Kati |
dc.contributor.author |
Mennander, Ari |
dc.contributor.author |
Nozohoor, Shahab |
dc.contributor.author |
Olsson, Christian |
dc.contributor.author |
Wickbom, Anders |
dc.contributor.author |
Zindovic, Igor |
dc.contributor.author |
Gunn, Jarmo |
dc.date.accessioned |
2020-01-17T13:58:38Z |
dc.date.available |
2020-01-17T13:58:38Z |
dc.date.issued |
2018-09 |
dc.identifier.citation |
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. |
dc.identifier.issn |
0022-5223 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/1457 |
dc.description |
Publisher's version (útgefin grein) |
dc.description.abstract |
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. |
dc.description.sponsorship |
Finnish governmental research funding |
dc.format.extent |
939-948 |
dc.language.iso |
en |
dc.publisher |
Elsevier BV |
dc.relation.ispartofseries |
The Journal of Thoracic and Cardiovascular Surgery;156(3) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Aortic dissection |
dc.subject |
Reoperation |
dc.subject |
Midterm |
dc.subject |
Outcome |
dc.subject |
Æðasjúkdómar |
dc.subject |
Blóðrásarsjúkdómar |
dc.subject |
Sjúklingar |
dc.subject |
Batahorfur |
dc.title |
Low rate of reoperations after acute type A aortic dissection repair from The Nordic Consortium Registry |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
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 |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
The Journal of Thoracic and Cardiovascular Surgery |
dc.identifier.doi |
10.1016/j.jtcvs.2018.03.144 |
dc.contributor.department |
Læknadeild (HÍ) |
dc.contributor.department |
Faculty of Medicine (UI) |
dc.contributor.school |
Heilbrigðisvísindasvið (HÍ) |
dc.contributor.school |
School of Health Sciences (UI) |