The modified frozen elephant trunk may outperform limited and extended-classic repair in acute type I dissection.

ABSTRACT:

Objectives

A better surgical approach for acute DeBakey type I dissection has been sought for decades. We compare operative trends, complications, reinterventions and survival after limited versus extended-classic versus modified frozen elephant trunk (mFET) repair for this condition.

Methods

From 1 January 1978 to 1 January 2018, 879 patients underwent surgery for acute DeBakey type I dissection at Cleveland Clinic. Repairs were limited to the ascending aorta/hemiarch (701.79%) or extended through the arch [extended classic (88.10%) or mFET (90.10%)]. Weighted propensity score matched established comparable groups.

Results

Among weighted propensity-matched patients, mFET repair had similar circulatory arrest times and postoperative complications to limited repair, ex

SUBMITTER: Roselli EE 

PROVIDER: S-EPMC10234761 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature